Individual
JUDY C WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8000
Mailing address
26901 BEAUMONT BLVD, STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1862
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704115137
MI
363LG0600X
Gerontology Nurse Practitioner
4704115137
MI
Other
Enumeration date
03/10/2008
Last updated
07/23/2019
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