# PENNY WILTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1881987006
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 4301098628 | MI | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 4301119376 | MI | Yes |

## Other

- **Enumeration date:** 05/20/2011
- **Last updated:** 12/28/2023