MARILYN LOUISE VANTASSEL

TROY, MI
NPI1942573787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MI  4704125395)
Enumeration Date2012-02-09
Last Update Date2012-02-09
Business Address
-- MARILYN LOUISE VANTASSEL RN, NP
3150 LIVERNOIS RD SUITE 170
TROY, MI 48083-5031
Phone number: 888-315-5442
Mailing Address
-- MARILYN LOUISE VANTASSEL RN, NP
3150 LIVERNOIS RD SUITE 170
TROY, MI 48083-5031
Phone number: 888-315-5442
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