Individual provider · Type 1 NPI

Mark Wesley, ACNPC-AG

Acute Care Nurse Practitioner · Dearborn, MI

NPI number 1104607514 Active

Practice location

840 Oakwood Blvd
Dearborn, MI 48124-2319

Call (313) 359-7631 Map

Mailing address

1391 Amberwood Dr
Wixom, MI 48393-1679

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	4704286220 (MI)

Acute Care Nurse Practitioner: Definition to come...

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Christopher CrayneNurse Practitioner Dearborn, MI NPI 1235868506
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Daniel Noujaim, MDDiagnostic Radiology Physician Dearborn, MI NPI 1538373154

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About NPI 1104607514

Mark Wesley, ACNPC-AG's National Provider Identifier is 1104607514, issued on Oct 11, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dearborn, MI. The record was last updated on Oct 11, 2023.