DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. HOLLY WISEMAN, CLC

Active Sole Proprietor

MRS. HOLLY WISEMAN, CLC is a Lactation Consultant healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1073922068 is currently active in the NPPES registry. Verify at CMS.

Lactation Consultant · CLINTON TOWNSHIP, MI

Registration Details

NPI Number
1073922068
Provider Type
Individual
Gender
Female
NPI Issued
Aug 5, 2014 (12.055627895418 yrs)
Last Updated
Aug 5, 2014
License
ALPP-205479 (RI)
Sole Proprietor
Yes

Practice Information

Address
36500 WOODINGHAM ST
CLINTON TOWNSHIP, MI, 480351688
Browse MI providers · Browse ZIP 48035
Phone
5869302438
Primary Specialty
Lactation Consultant
174N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.