Individual
TAYLOR MARIE WIREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(800) 284-8288
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
(800) 284-8288
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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