Individual
KYLE J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1033 N BAGLEY ST, ALPENA, MI 49707-8215
(989) 354-4484
(989) 354-4474
Mailing address
1033 N BAGLEY ST, ALPENA, MI 49707-8215
(989) 354-4484
(989) 354-4474
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
35010005495
MI
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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