Individual
MICHAEL RYAN WUELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.A.S.
Contact information
Practice address
3600 E STATE ST, SUITE 324, ROCKFORD, IL 61108-1978
(815) 227-9380
(815) 227-9387
Mailing address
6 VICTORY DRIVE, LIBERTY, MO 64068
(816) 883-2660
(816) 792-9819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
AS4088
FL
237700000X
Hearing Instrument Specialist
Primary
3122
IL
Other
Enumeration date
07/06/2011
Last updated
03/13/2013
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