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1760229108
MARISA ANNE KONZER
CANTON, MI
NPI
1760229108
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Former Name
MARISA ANNE POLSINELLI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704342989)
Enumeration Date
2024-07-12
Last Update Date
2024-07-26
Business Address
MARISA ANNE KONZER NP-C
45300 CHERRY HILL RD
CANTON, MI 48187-5073
Phone number: 734-981-3968
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Mailing Address
MARISA ANNE KONZER NP-C
2207 MACE AVE
ROYAL OAK, MI 48067-2311
Phone number:
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