Individual
MRS. KIMBERLY ANN WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
43097 WOODWARD AVE, SUITE 201, BLOOMFIELD HILLS, MI 48302-5041
(248) 454-9000
(248) 454-9100
Mailing address
43097 WOODWARD AVE, SUITE 201, BLOOMFIELD HILLS, MI 48302-5041
(248) 454-9000
(248) 454-9100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704159179
MI
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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