| Doctor Name: | WENDY STOREY |
| NPI Number: | 1013015155 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | 4704141647 |
| Business Practice Address: | 49650 Cherry Hill Rd Suite 210 Canton, MI - 481874849 |
| Business Phone Number: | 7343987899 |
| Business Fax Number: | 7343987895 |
| Mailing Address: | 2100 Commonwealth Blvd, Suite 202 ANN ARBOR |
| State: | MI |
| Postal Code: | 481051593 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 4704141647 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |