Individual
ANDREW LAY WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11885 E 12 MILE RD, STE. 300A, WARREN, MI 48093-3474
(586) 582-6630
(586) 582-6631
Mailing address
11885 E 12 MILE RD, STE. 300A, WARREN, MI 48093-3474
(586) 582-6630
(586) 582-6631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101018914
MI
Other
Enumeration date
06/22/2010
Last updated
02/11/2022
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