Individual
KELLIE WENDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15200 KERCHEVAL AVE, GROSSE POINTE PARK, MI 48230-1356
(947) 519-6700
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101027350
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/27/2020
Last updated
12/13/2023
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