Individual
SUSAN WALLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39625 KINGSBURY DR, STERLING HEIGHTS, MI 48313-4839
(586) 488-8608
Mailing address
39625 KINGSBURY DR, STERLING HEIGHTS, MI 48313-4839
(586) 488-8608
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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