Individual
CHRISTINE WEGLARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,ANP-BC,CDE
Contact information
Practice address
28905 WOODWARD AVE, BERKLEY, MI 48072-0923
(248) 551-7508
(248) 551-7580
Mailing address
28905 WOODWARD AVE, BERKLEY, MI 48072-0923
(248) 551-7508
(248) 551-7580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704190410
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704190410
MI
Other
Enumeration date
04/09/2012
Last updated
10/20/2020
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