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Individual

DR. STEFANIE LYN WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4201 SAINT ANTOINE ST, UHC 9C, DETROIT, MI 48201-2153
(313) 745-5146
(313) 966-0880
Mailing address
4811 KENSINGTON AVE, APT. B, DETROIT, MI 48224-2738
(616) 481-7965

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301096917
MI

Other

Enumeration date
06/30/2010
Last updated
06/30/2010
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