Individual
FREENA J WANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
30801 SCHOENHERR RD, WARREN, MI 48088
(586) 393-5214
Mailing address
30801 SCHOENHERR RD, WARREN, MI 48088-6857
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5501017326
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MI
Enumeration date
09/28/2017
Last updated
06/16/2018
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