Individual
ANGELA LYNN WANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
32605 W 12 MILE RD STE 195, FARMINGTON HILLS, MI 48334-3390
(313) 306-2023
Mailing address
1689 HAYNOR RD, IONIA, MI 48846-8507
(616) 902-1909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704270110
MI
Other
Enumeration date
07/13/2022
Last updated
07/20/2022
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