Individual
MISS JORDAN MELISSA WROBY-CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(313) 916-9325
Mailing address
39450 W 12 MILE RD, NOVI, MI 48377-3600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704272454
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704272454
MI
Other
Enumeration date
10/14/2013
Last updated
09/03/2019
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