Individual
MICHELLE L WOLYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1475 KISKER RD, SUITE 200, SAINT CHARLES, MO 63304-8781
(636) 498-5830
(636) 498-5886
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015031257
MO
Other
Enumeration date
11/02/2015
Last updated
11/16/2020
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