Healthcare Provider Details

I. General information

NPI: 1548553845
Provider Name (Legal Business Name): APRIL LYNN NOFZINGER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: APRIL LYNN WANDEL

II. Dates (important events)

Enumeration Date: 05/18/2011
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15855 19 MILE RD
CLINTON TOWNSHIP MI
48038-3504
US

IV. Provider business mailing address

1 FORD PL STE 3A
DETROIT MI
48202-3450
US

V. Phone/Fax

Practice location:
  • Phone: 586-263-2300
  • Fax: 313-876-1305
Mailing address:
  • Phone: 313-874-4806
  • Fax: 313-876-1305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101018621
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number5101018621
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number5101018621
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number5101018621
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: