Individual
MRS. MAJU BASILA WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
(616) 454-4777
Mailing address
5827 CROSSWINDS DR, UNIT 24, NORTON SHORES, MI 49444-7724
(231) 798-2026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704300808
MI
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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