Marrisa Modell
Marrisa Modell is a Student in an Organized Health Care Education/Training Program in Canton, Michigan. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
43825 Michigan AveCanton, MI 48188-2551
Phone: (734) 397-3088
Fax: (734) 397-0078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1942016506 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | December 9, 2024 |
| Last updated in NPPES | December 9, 2024 |
| Certification date | December 8, 2024 |
| Mailing address | 10958 Oak Ln Apt 6216, Van Buren Township, MI 48111-4377 |
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