Individual
DR. MICHELLE ANNETTE WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
22101 MOROSS RD, ST JOHN, DETROIT, MI 48236-2148
(313) 343-7378
Mailing address
12 LAKE COURT, GROSSE POINTE PARK, MI 48230
(248) 943-4934
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301099850
MI
Other
Enumeration date
06/22/2009
Last updated
07/08/2015
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