Individual
MICHAEL JOHN WESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-3182
(313) 576-1376
Mailing address
310 MAINCENTRE, NORTHVILLE, MI 48167-1564
(313) 576-3182
(313) 576-1376
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704175069
MI
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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