Individual
LAUREN JANE WICHELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
19000 ST JOES PKWY STE 210, LIVONIA, MI 48152-1477
(734) 655-8250
Mailing address
19000 ST JOES PKWY STE 210, LIVONIA, MI 48152-1477
(734) 655-8250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101027582
MI
Other
Enumeration date
03/29/2019
Last updated
08/15/2023
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