Individual
CHARLES ANTHONY-ERIK WAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5555 CONNER ST, DETROIT, MI 48213-3448
(313) 208-1006
Mailing address
11391 AUBURN ST, DETROIT, MI 48228-1302
(313) 208-1006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005482
MI
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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