Individual
NICOLE WEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
3015 VOORHEIS LAKE CT, LAKE ORION, MI 48360-1868
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
07/21/2023
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