Individual
MRS. HEATHER K. WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 W. 13 MILE RD., ROYAL OAK, MI 48073-6712
(248) 898-7784
(248) 898-8181
Mailing address
130 TOWN CENTER DRIVE, #203, TROY, MI 48084-1744
(248) 585-8250
(248) 585-8270
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704272890
MI
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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