Individual
ABIGAIL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5766 WAGON WHEEL DR, SALINE, MI 48176-9588
(734) 660-6652
Mailing address
5766 WAGON WHEEL DR, SALINE, MI 48176-9588
(734) 660-6652
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1033894035
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2023
Last updated
06/15/2025
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