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Individual

MRS. WENDY SUE EVOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
28595 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48334-2977
(248) 553-0606
Mailing address
28595 ORCHARD LAKE ROAAD, FARMINGTON HILLS, MI 48334
(248) 410-8568

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704217662
MI

Other

Enumeration date
11/13/2013
Last updated
02/11/2014
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