Individual
ROBERTA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 W WACKERLY ST STE 1600, MIDLAND, MI 48640-4710
(989) 794-0265
Mailing address
555 W WACKERLY ST STE 1600, MIDLAND, MI 48640-4710
(989) 794-0265
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
5302412745
MI
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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