Individual
PAMELA Y WOLFERSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 781-4271
Mailing address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 781-4271
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4704264365
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704264365
MI
Other
Enumeration date
06/22/2006
Last updated
12/04/2019
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