Individual
JANET FREDAL WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN,BC, NP-C
Contact information
Practice address
2799 W GRAND BLVD, K-14 CARDIOLOGY, DETROIT, MI 48202-2608
(313) 916-1534
Mailing address
960 WESTCHESTER RD, GROSSE POINTE PARK, MI 48230-1830
(313) 331-9927
(313) 916-4065
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704121903
MI
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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