Individual
NICOLE LYNN WISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 649-9300
Mailing address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 649-9300
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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