Individual
BROOKE LYNNE WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9613
(989) 366-3636
Mailing address
404 S KINNEY AVE, MOUNT PLEASANT, MI 48858-2709
(989) 854-9145
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501009204
MI
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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