Kreymohney Desiree Wade, SPECIALIST
Kreymohney Desiree Wade, SPECIALIST is registered under Undefined Non-Physician Type (Specify) in Ann Arbor, Michigan. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in Michigan.
- Years since qualifying
- 12
- Licensed in
- MI
- In the registry since
- 2023
Practice location Address checks out
122 S Main St Ste 110Ann Arbor, MI 48104-1925
Phone: (734) 598-1564
Fax: (734) 407-8783
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X (MI) |
|---|
Record details
| NPI number | 1659065019 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SPECIALIST |
| Sole proprietor | Yes |
| NPI enumerated | June 7, 2023 |
| Last updated in NPPES | September 12, 2026 |
| Certification date | September 12, 2026 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Ann Arbor
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Elaborate You Hair Lash Aesthetics LLC
122 S Main St Ste 110, Ann Arbor, MI 48104-1925 · (734) 598-1564
-
Perry Prosthetics, Inc
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Regents of the University of Michigan
1000 Wall St, Ann Arbor, MI 48105-1912 · (734) 763-8122
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Regents of the University of Michigan
2850 S Industrial Hwy Ste 400, Ann Arbor, MI 48104-6796 · (734) 973-2927