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Individual

MRS. WENDY JOAN DUFOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
261 MACK AVE, DETROIT, MI 48201-2495
(313) 745-1100
(313) 745-0476
Mailing address
261 MACK AVE, DETROIT, MI 48201-2495

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
5501010706
MI
2251X0800X
Orthopedic Physical Therapist
Primary
5501010706
MI

Other

Enumeration date
05/30/2018
Last updated
05/30/2018
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