LISA M WODTKE

WARREN, MI
NPI1962569152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704163773)
Enumeration Date2007-01-03
Last Update Date2007-07-08
Business Address
-- LISA M WODTKE CRNA
11800 E 12 MILE RD
WARREN, MI 48093-3472
Phone number: 586-573-5260
Mailing Address
-- LISA M WODTKE CRNA
11800 E 12 MILE RD
WARREN, MI 48093-3472
Phone number: 586-573-5260
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