Main Street Family Practice PC
NPI #1972706612 in West Branch, Michigan
Provider Information
- NPI Number
- 1972706612
- Entity Type
- Organization
- Organization Name
- Main Street Family Practice PC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 8, 2007
- Last Updated
- Aug 27, 2009
Practice Location
- Address
- 117 S BURGESS ST
- City
- West Branch
- State
- Michigan
- ZIP Code
- 48661-1403
- Phone
- (989) 343-1367
Authorized Official
- Name
- MS. MARILYN ELIZABETH LOUIS, CFNP
- Title
- ONWER
- Phone
- (989) 343-1367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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