Wendy Anne Machuta NURSE PRACTITIONER

NPI 1407104664 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1407104664
Gender Female
Enumeration Date 08/20/2012
Last Updated 08/20/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
11800 E 12 MILE RD
WARREN MI, 48093-3472, US
Phone (586) 573-5000
Fax
Business Location
55232 LASSEN DR
MACOMB MI, 48042-1652, US
Phone (586) 232-3308
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Michigan
License Number 4704160828
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According to our database, Wendy Anne Machuta NURSE PRACTITIONER NPI is 1407104664, taxonomy code is 363LF0000X and license number is 4704160828, license state is located at Michigan. Wendy Anne Machuta NURSE PRACTITIONER physically located at 11800 E 12 Mile Rd, Warren MI, 48093-3472. NPI Number Wendy Anne Machuta NURSE PRACTITIONER has the Individual type.

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1407104664 NPI number is provided on an as is basis without warranty of any kind. 1407104664 is maintained by the National Plan & Provider Enumeration System. The contents of Wendy Anne Machuta NURSE PRACTITIONER are for informational purposes only.