Individual
MS. STACEY GIDNER WUDYKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11368 ALLEN RD, TAYLOR, MI 48180-4372
(734) 403-2222
(734) 403-2400
Mailing address
11368 ALLEN RD, TAYLOR, MI 48180-4372
(734) 403-2222
(734) 403-2400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704202910
MI
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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