Individual
MICHELLE C WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1599
(888) 731-8994
Mailing address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1599
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704186908
MI
Other
Enumeration date
09/27/2011
Last updated
08/22/2025
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