Individual
LIZ WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
50505 SCHOENHERR RD, SUITE 340, SHELBY TOWNSHIP, MI 48315-3140
(586) 731-8400
(586) 731-8406
Mailing address
50505 SCHOENHERR RD, SUITE 340, SHELBY TOWNSHIP, MI 48315-3140
(586) 731-8400
(586) 731-8406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101019844
MI
208M00000X
Hospitalist Physician
Primary
5101019844
MI
Other
Enumeration date
04/09/2012
Last updated
10/20/2015
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