Individual
IRYNA WOLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
4206 PONTIAC LAKE RD, WATERFORD, MI 48328-1261
(248) 742-1638
Mailing address
4206 PONTIAC LAKE RD, WATERFORD, MI 48328-1261
(248) 742-1638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704270392
MI
363L00000X
Nurse Practitioner
Primary
4704270392
MI
Other
Enumeration date
07/10/2014
Last updated
08/06/2025
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