Individual
MRS. NICOLE L WORMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
173 M 66 N, CHARLEVOIX, MI 49720-9338
(231) 903-4620
Mailing address
1111 N US HIGHWAY 31, PETOSKEY, MI 49770-9305
(231) 489-1006
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3502013234
MI
Other
Enumeration date
11/01/2023
Last updated
11/02/2023
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