Individual
RYAN WASIELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N., AGPCNP
Contact information
Practice address
2700 ROBERT T LONGWAY BLVD, #2, FLINT, MI 48503-2190
(810) 235-2004
Mailing address
2803 W LINDEN AVE, UPPER UNIT, NASHVILLE, TN 37212-4710
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704324441
MI
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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