Individual
EMILY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5483 GRATIOT RD, SAGINAW, MI 48638-6037
(989) 583-5626
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704334022
MI
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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