Individual
ANGELA MARIE WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11600 SILVER LAKE HWY, BROOKLYN, MI 49230-8459
(517) 438-6222
Mailing address
11600 SILVER LAKE HWY, BROOKLYN, MI 49230-8459
(517) 438-6222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4704270543NSA230TW
MI
207R00000X
Internal Medicine Physician
4704270543NSA230TW
MI
363LF0000X
Family Nurse Practitioner
Primary
4704270543
MI
Other
Enumeration date
10/16/2023
Last updated
09/13/2024
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