Individual
MS. DEBRA K WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
27300 WIXOM RD, NOVI, MI 48374
(248) 349-6043
Mailing address
27300 WIXOM RD, NOVI, MI 48374
(248) 349-6043
(248) 349-6121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5315027658
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2368404
—
MI
Enumeration date
12/12/2006
Last updated
07/08/2007
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