Individual
NICOLE WACKERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
2333 BIDDLE AVE FL 8, WYANDOTTE, MI 48192-4668
(734) 246-5500
Mailing address
5731 CARLETON ROCKWOOD RD, SOUTH ROCKWOOD, MI 48179-9304
(734) 250-1986
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
4401007260
MI
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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