Individual
JANICE LEE WYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4313 MONROE AVE, PORTAGE, MI 49002-2062
(269) 532-3281
Mailing address
4313 MONROE AVE, PORTAGE, MI 49002-2062
(269) 532-3281
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0156818
MI
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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