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NPI Profile for JAMIE M WEDGE in WHITMORE LAKE, MI.
Deactivation Date: 3/31/2023
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Art Specialist/Technologist |
246ZA2600X | |||
Specialist |
174400000X |
| NPI Number | 1558132126 |
|
| Status | Active | |
| Credentials | PARA TATTOOIST MEDIC | |
| Entity | Individual | |
| Enumeration date | 01/12/2024 | |
| Last updated | 09/10/2025 - About 9 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JAMIE M WEDGE, PARA TATTOOIST MEDIC