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Individual

DR. RYAN JAMES WILSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
610 E DIVISION ST, ROCKFORD, MI 49341-1363
(616) 866-0164
Mailing address
610 E DIVISION ST, ROCKFORD, MI 49341-1363
(616) 866-0164

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18655
MI

Other

Enumeration date
02/21/2006
Last updated
07/08/2007
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