Individual
WENDY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1484 STRAITS DR, SUITE 5, BAY CITY, MI 48706-8718
(989) 667-8740
(989) 667-8745
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704138410
MI
363LA2200X
Adult Health Nurse Practitioner
4704138410
MI
Other
Enumeration date
06/07/2012
Last updated
07/14/2014
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