Individual
MR. DAVID MICHAEL WENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP-BC, PMHNP-BC
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 871-1496
Mailing address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 871-1496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704255142
MI
363LA2100X
Acute Care Nurse Practitioner
4704255142
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704255142
MI
Other
Enumeration date
07/31/2012
Last updated
01/22/2025
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