Wyzlee Bussle

NPI #1972336162 in Inkster, Michigan

Provider Information

NPI Number: 1972336162
Entity Type: Individual
Name: Wyzlee Bussle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chore Provider
Enumeration Date: Aug 22, 2024
Last Updated: Aug 22, 2024

Practice Location

Address: 27849 AVONDALE ST
City: Inkster
State: Michigan
ZIP Code: 48141-1717
Phone: (313) 646-0611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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