Individual
KATHLEEN M WECKESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
48519 AMERICAN ELM DR, MACOMB, MI 48044-1429
(586) 226-9974
Mailing address
48519 AMERICAN ELM DR, MACOMB, MI 48044-1429
(586) 226-9974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704075677
MI
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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