Individual
THERESA WINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 W BIG BEAVER RD, TROY, MI 48084-3545
(248) 276-8000
Mailing address
1800 W BIG BEAVER RD, TROY, MI 48084-3545
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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