Individual
ANNE WUERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 8TH FLOOR CS MOTT CHILDRENS HOSPITAL, ANN ARBOR, MI 48109-4259
(734) 936-4185
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
4704141066
MI
363L00000X
Nurse Practitioner
Primary
4704141066
MI
363LP0200X
Pediatric Nurse Practitioner
4704141066
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20030884
CERTIFIED NURSE PRACTITIO
—
05
—
4583250
—
MI
Enumeration date
09/14/2005
Last updated
02/05/2014
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