Individual
DR. MARIAN VICTORIA WARDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3601 WASHTENAW AVE, SUITE E, ANN ARBOR, MI 48104-5277
(734) 973-1969
Mailing address
22009 SHORE POINTE LN, SAINT CLAIR SHORES, MI 48080-3576
(772) 233-5959
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004548
MI
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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