Healthcare Provider Details

I. General information

NPI: 1548061450
Provider Name (Legal Business Name): MARISA DANIELLE BUELTER CD (CERTIFIED DOULA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARISA DANIELLE DE LUCA

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 LAHRING RD
LINDEN MI
48451-9434
US

IV. Provider business mailing address

3250 LAHRING RD
LINDEN MI
48451-9434
US

V. Phone/Fax

Practice location:
  • Phone: 248-917-2052
  • Fax:
Mailing address:
  • Phone: 248-917-2052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: