LISA KATHRYN WAYNICK

DETROIT, MI
NPI1124467816
Former NameLISA KATHRYN REILE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006673)
Enumeration Date2013-06-17
Last Update Date2021-02-22
Business Address
LISA KATHRYN WAYNICK PA
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-5000
Mailing Address
LISA KATHRYN WAYNICK PA
529 HELENE AVE
ROYAL OAK, MI 48067-3980
Phone number: 248-770-1531
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