Individual
MS. MAUREEN E WARKENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5447 WOODWARD AVE, DETROIT, MI 48202-4009
(313) 832-1100
(313) 578-4507
Mailing address
5447 WOODWARD AVE, DETROIT, MI 48202-4009
(313) 832-1100
(313) 578-4507
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5201005327
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201005327
STATE OF MICHIGAN
MI
Enumeration date
06/02/2009
Last updated
11/07/2012
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