Individual
MRS. ANNETTE L WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24111 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2817
(248) 557-8800
(248) 557-8860
Mailing address
24111 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2817
(248) 557-8800
(248) 557-8860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704154666
MI
Other
Enumeration date
06/18/2006
Last updated
01/22/2021
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