Individual
ANDREW DENNIS WUNDERLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 RENAISSANCE CTR, DETROIT, MI 48243-1502
(303) 989-8169
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(734) 740-2821
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
11/28/2021
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