Individual
STEPHANIE WIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-4355
(313) 576-1195
Mailing address
3010 CARLY CT, AUBURN HILLS, MI 48326-2006
(248) 377-2517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704176253
MI
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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