Individual
WENDY A WOJCICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3113 S GROW RD, SIDNEY, MI 48885-9728
(616) 302-6126
Mailing address
3113 S GROW RD, SIDNEY, MI 48885-9728
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703107699
MI
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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