Individual
MS. GRETA CAROLINE WENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704271785
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013013077
AMERICAN NURSES CREDENTIALING CENTER
MI
01
—
4704271785
STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
08/25/2013
Last updated
08/25/2013
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