Individual
HEATHER WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6070 GRANT RD, FARWELL, MI 48622-9554
(517) 231-2479
Mailing address
6070 GRANT RD, FARWELL, MI 48622-9554
(517) 231-2479
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
192911
MI
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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