Individual
MRS. JILL ELIZABETH WANGSNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2335
(734) 769-7100
Mailing address
9273 MATTHEWS HWY, TECUMSEH, MI 49286-8708
(517) 423-0750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5201002248
MI
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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