Individual
SARAH GAE WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
333 S KALAMAZOO AVE, MARSHALL, MI 49068-1714
(269) 558-0080
Mailing address
333 S KALAMAZOO AVE, MARSHALL, MI 49068-1714
(269) 558-0080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704284928
MI
Other
Enumeration date
03/15/2019
Last updated
03/16/2023
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