Individual
NILE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24445 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-6501
(248) 483-7804
Mailing address
610 ALMYRA AVE, MONROE, MI 48161-1011
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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