Individual
CHRISTINE M WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4760 FASHION SQUARE BLVD STE L-1, SAGINAW, MI 48604-2620
(989) 282-4003
(888) 491-7220
Mailing address
1372 JAYBE CT, ESSEXVILLE, MI 48732-9533
(989) 714-0164
(888) 491-7220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704185314
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704185314
MICHIGAN LICENSE
MI
Enumeration date
03/26/2019
Last updated
06/10/2021
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