Most Relevant Information
Provider Data
| NPI Number: | 1003184268 |
| Provider Name: | ROBIN WAWERSIK |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704231812 |
Most Important Dates
| Enumeration Date: | 12/02/2011 |
| Last Updated: | 12/02/2011 |
Provider Practice Location
18181 OAKWOOD BLVD STE 207
DEARBORN
MI
481245031
Practice Location Phone/Fax
| Phone: | 3132715565 |
| Fax: | 3132711053 |
Provider Mailing Location
22939 NOWLIN ST
DEARBORN
MI
48124
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |