Individual
MS. ANNETTE WALBLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, LEVEL 3, ANN ARBOR, MI 48109-5856
(888) 287-1082
Mailing address
3621 S STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704155767
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704155767
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4762387
—
MI
01
—
5008601210
BLUECROSSBLUESHIELD OF MI
MI
Enumeration date
06/25/2006
Last updated
01/02/2009
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