Individual
MRS. KATHLEEN WOJDA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 HARRINGTON ST, DISEASE MANAGEMENT, MOUNT CLEMENS, MI 48043-2920
(586) 493-8565
(586) 493-8186
Mailing address
1000 HARRINGTON BLVD., DISEASE MANAGEMENT, MT. CLEMENS, MI 48043-2920
(586) 493-8565
(586) 493-8186
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704114606
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4586056
—
MI
05
—
10-4719949
—
MI
05
—
10-4719958
—
MI
05
—
10-4719967
—
MI
05
—
10-4719976
—
MI
05
—
10-4719985
—
MI
Enumeration date
01/05/2006
Last updated
09/17/2010
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