Most Relevant Information
Provider Data
| NPI Number: | 1003513722 |
| Provider Name: | LORNE WANDELL |
| Entity Type: | Individual |
| Taxonomy Code: | 242T00000X |
| Specialty: | Perfusionist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/13/2023 |
| Last Updated: | 02/13/2023 |
Provider Practice Location
45211 HELM ST STE 110
PLYMOUTH
MI
481706023
Practice Location Phone/Fax
| Phone: | 7345259712 |
| Fax: |
Provider Mailing Location
45211 HELM ST STE 110
PLYMOUTH
MI
481706023
Provider Mailing Phone/Fax
| Phone: | 7345259712 |
| Fax: |