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Individual
GRACE MICHEL WANDELL
Active
Individual
GRACE MICHEL WANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A187856
CA
207Y00000X
Otolaryngology Physician
Primary
MD61090180
WA
Other
Enumeration date
03/24/2017
Last updated
09/22/2025
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