Individual
GWENNAN DAEL ENGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-5126
Mailing address
1840 PLANTERS ROW DR SW, BYRON CENTER, MI 49315-8177
(616) 422-6170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704277975
MI
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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