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Kellie Wendzinski, DO
Student in an Organized Health Care Education/Training Program in Grosse Pointe Park, Michigan
NPI 1710500640

Kellie Wendzinski is a Student in an Organized Health Care Education/Training Program based in Southfield, MI. Kellie Wendzinski practices in Grosse Pointe Park, MI and has the professional credentials of DO. The NPI Number for Kellie Wendzinski is 1710500640 and holds a License No. 5101027350 (Michigan).

The current practice location address for Kellie Wendzinski is 15200 Kercheval Ave, Grosse Pointe Park, MI and can be reached out via phone at 947-519-6700.

Location: 15200 Kercheval Ave, Grosse Pointe Park, MI, 48033-3849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710500640
Provider Name
Kellie Wendzinski
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
15200 Kercheval Ave, Grosse Pointe Park, MI, 48033-3849
Phone Number
947-519-6700
Fax Number
Provider Enumeration Date
05/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15200 Kercheval Ave
City
Grosse Pointe Park
State
Michigan
Zip
48230-1356
Phone Number
947-519-6700
Fax Number
person
Provider Business Mailing Address Details
Address
15200 Kercheval Ave
City
Grosse Pointe Park
State
Michigan
Zip
48230-1356
Phone Number
947-519-6700
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
(Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5101027350 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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