Provider Information for 1841416328
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MICHELLE L CONSAVAGE
Sex: Female
NPI: 1841416328
Last Updated: 2025-02-06
Certification Date: 2025-02-06
Certification Date: 2025-02-06
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841416328 | ||||||||||||
| Enumeration Date | 2007-04-17 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1215 N BRIDGE ST APT 2 LINDEN, MI 48451-8803 United States Phone: 810-858-9920 | Fax: | ||||||||||||
| Primary Practice Address | 1215 N BRIDGE ST APT 2 LINDEN, MI 48451-8803 United States Phone: 810-858-9920 | Fax: | ||||||||||||
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