Individual
MICHELLE WEDEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 N ELISEO FELIX JR WAY STE 110, AVONDALE, AZ 85323-1217
(623) 932-7000
Mailing address
1481 N ELISEO FELIX JR WAY STE 110, AVONDALE, AZ 85323-1217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
B089083
AZ
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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