Estate of Donald J. Tousignant

NPI #1023242500 in Marysville, Michigan

Provider Information

NPI Number: 1023242500
Entity Type: Organization
Organization Name: Estate of Donald J. Tousignant
Primary Specialty: Dentist - General Practice
Enumeration Date: May 12, 2009
Last Updated: May 12, 2009

Practice Location

Address: 1100 MICHIGAN AVE
City: Marysville
State: Michigan
ZIP Code: 48040-2112
Phone: (810) 364-9300

Authorized Official

Name: MS. KIMBERLY JANINE TOUSIGNANT
Title: PERSONAL REPRESENTATIVE
Phone: (810) 364-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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