Individual
MELISSA WISEHEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 JOHN R ST STE 925, DETROIT, MI 48201-2017
(313) 745-7247
(313) 993-0500
Mailing address
4160 JOHN R ST STE 925, DETROIT, MI 48201-2017
(313) 745-7247
(313) 993-0500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704255849
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704255849
MI
Other
Enumeration date
08/31/2020
Last updated
07/18/2023
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