Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Wesley, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1104607514

Mark Wesley, ACNPC-AG is a Nurse Practitioner in Dearborn, Michigan. Qualified in 2022, 4 years ago. Practices with Drs Harris Birkhill Wang Songe and Assoc PC, a 63-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2023

Practice location Address checks out

840 Oakwood Blvd
Dearborn, MI 48124-2319
Phone: (313) 359-7631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704286220 (MI)

Record details

NPI number1104607514
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedOctober 11, 2023
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023
Mailing address1391 Amberwood Dr, Wixom, MI 48393-1679

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Drs Harris Birkhill Wang Songe And Assoc Pc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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