Individual
JENNIFER L WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1801 W MAUMEE ST, SUITE 110, ADRIAN, MI 49221-1291
(734) 244-6022
Mailing address
2861 ASHLEY DR, ADRIAN, MI 49221-8787
(734) 244-6022
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7501002525
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501002525
MICHIGAN LICENSE NUMBER
MI
Enumeration date
03/27/2015
Last updated
03/07/2017
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