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Individual
MICHELLE L WENSINK
Active
Individual
MICHELLE L WENSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN312314
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10246
PARAMOUNT GROUP ID
OH
01
—
600972
BUCKEYE COMM HEALTH GROUP
OH
01
—
8822331
MEDICAID GROUP ID
OH
Enumeration date
10/16/2007
Last updated
10/16/2007
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