person
Kelly K Wietecha, CNP
Adult Health Nurse Practitioner in Detroit, Michigan
NPI 1982642054

Kelly K Wietecha is an Adult Health Nurse Practitioner based in Detroit, MI and is specialized in Adult Health. Kelly K Wietecha practices in Detroit, MI and has the professional credentials of CNP. The NPI Number for Kelly K Wietecha is 1982642054 and holds a License No. 4704176683 (Michigan).

The current practice location address for Kelly K Wietecha is Harper Professional Bldg Ste 1007, Detroit, MI and can be reached out via phone at 313-745-4525. You can also correspond with Kelly K Wietecha through the mailing address at 3800 WOODWARD AVE, DETROIT, MI - 48201-2061 (mailing address contact number: ).

Location: Harper Professional Bldg Ste 1007, Detroit, MI, 48201-2061
person
Provider Profile Details
NPI Number
1982642054
Provider Name
Kelly K Wietecha
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
Harper Professional Bldg Ste 1007, Detroit, MI, 48201-2061
Phone Number
313-745-4525
Fax Number
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Harper Professional Bldg Ste 1007
City
State
Zip
48201
Phone Number
313-745-4525
Fax Number
person
Provider Business Mailing Address Details
Address
Harper Professional Bldg Ste 1007
City
State
Zip
48201
Phone Number
313-745-4525
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
4704176683 (Michigan)
Definition
Definition to come...
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