Individual
MICHELLE RENEE BLAIR-WUNDERLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
221 W 8TH AVE, WINFIELD, KS 67156-2718
(620) 221-3350
(620) 221-6061
Mailing address
221 W 8TH AVE, PO BOX 643, WINFIELD, KS 67156-2718
(620) 221-3350
(620) 221-6061
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-75442-072
KS
Other
Enumeration date
07/12/2011
Last updated
10/22/2012
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