Individual
BRIAN WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 CAMBRIDGE DR, DEXTER, MI 48130-2505
(517) 392-0723
Mailing address
308 CAMBRIDGE DR, DEXTER, MI 48130-2505
(517) 392-0723
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
4704283636
MI
363L00000X
Nurse Practitioner
Primary
4704283636
MI
Other
Enumeration date
07/30/2024
Last updated
08/27/2024
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