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Marilyn Doermann Kellum
Adult Health Nurse Practitioner in Ann Arbor, Michigan
NPI 1659472702

Marilyn Doermann Kellum is an Adult Health Nurse Practitioner based in Ann Arbor, MI and is specialized in Adult Health. Marilyn Doermann Kellum practices in Ann Arbor, MI. The NPI Number for Marilyn Doermann Kellum is 1659472702 and holds a License No. 4704119985 (Michigan).

The current practice location address for Marilyn Doermann Kellum is 207 Fletcher, Ann Arbor, MI and can be reached out via phone at 734-764-2080 and via fax at 734-763-7505.

Location: 207 Fletcher, Ann Arbor, MI, 48109-1050
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Provider Profile Details
NPI Number
1659472702
Provider Name
Marilyn Doermann Kellum
Credential
Provider Entity Type
Individual
Gender
Female
Address
207 Fletcher, Ann Arbor, MI, 48109-1050
Phone Number
734-764-2080
Fax Number
734-763-7505
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5008602570 01 MI BCBS MI
institution
Provider Business Practice Location Address Details
Address
207 Fletcher
City
State
Zip
48109-1050
Phone Number
734-764-2080
Fax Number
734-763-7505
person
Provider Business Mailing Address Details
Address
207 Fletcher
City
State
Zip
48109-1050
Phone Number
734-764-2080
Fax Number
734-763-7505
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
4704119985 (Michigan)
Definition
Definition to come...
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