Individual
MS. CAROL A WANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
405 W GREENLAWN AVE, SUITE 400, LANSING, MI 48910-2898
(517) 483-7550
(517) 483-7575
Mailing address
405 W GREENLAWN AVE, SUITE 400, LANSING, MI 48910-2898
(517) 483-7550
(517) 483-7575
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704110257
MI
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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