Individual
MR. ROBERT JOHN WANCHA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2010 HOGBACK RD, SUITE 7, ANN ARBOR, MI 48105-9749
(734) 677-0918
Mailing address
PO BOX 1089, GARDEN CITY, MI 48136-1089
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008343
MI
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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