Individual
MRS. MADELEINE ROSE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
31991 STAMAN CT, FARMINGTON HILLS, MI 48336-1867
(704) 516-6242
Mailing address
31991 STAMAN CT, FARMINGTON HILLS, MI 48336-1867
(704) 516-6242
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704388253
MI
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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