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NPI Code Detail

MEDICARE: WENDY WILKINS

MEDICARE: WENDY WILKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse4703029147MI

General Provider Information

NPI Number : 1841709680
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY WILKINS
Provider Business Mailing Address
First Line : 2521 N ELMS RD
Second Line :
City : FLUSHING
State : MI
Zip : 48433-9423
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2521 N ELMS RD
Second Line :
City : FLUSHING
State : MI
Zip : 48433-9423
Country : US
Telephone Number : 810-487-5571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2017
Last Update Date : 09/25/2017

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Directions to “ WENDY WILKINS ” Practice Location

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