Individual
MARGUERITE WILHEMINA WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2439 STIEBER ST., WESTLAND, MI 48186
(313) 334-0139
Mailing address
2439 STIEBER ST, WESTLAND, MI 48186-4423
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
34
MI
347C00000X
Private Vehicle
Primary
799522
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
799522
DBA
MI
Enumeration date
09/01/2016
Last updated
09/01/2016
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