SearchMichigan101YA0400X

Malaisha Van

NPI 1336991611 · on the registry since 2024

Practice

Address
2655 Ashmun St
Sault Sainte Marie, MI 49783
Phone
(906) 632-2522
Fax
(906) 632-2370
Organisation at this address
Great Lakes Recovery Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Additional practice sites

  • 1416 W Easterday Ave, Sault Sainte Marie, MI

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2024-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan