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Individual

MRS. JAMIE M-E WEDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PARA TATTOOIST MEDIC

Contact information

Practice address
9541 MAIN ST, WHITMORE LAKE, MI 48189
(734) 333-5067
Mailing address
9541 MAIN ST, WHITMORE LAKE, MI 48189-9658
(734) 333-5067

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
BA-01066
MI
246ZA2600X
Medical Art Specialist/Technologist
Primary
BA-01066
MI

Other

Enumeration date
01/12/2024
Last updated
09/10/2025
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