Individual
MICHELE A WONCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27900 GRAND RIVER AVE, SUITE 220, FARMINGTON HILLS, MI 48336-5939
(248) 477-0552
(248) 477-0742
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704196140
MI
Other
Enumeration date
10/12/2016
Last updated
07/01/2024
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