Individual
MRS. DANA MARIE WENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2788
(586) 263-2577
Mailing address
18020 EIDER DRIVE, CLINTON TOWNSHIP, MI 48038
(586) 215-2370
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704234590
MI
Other
Enumeration date
10/26/2009
Last updated
06/03/2010
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