Individual
COLIN DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 COOPER AVE, SAGINAW, MI 48602-5182
(989) 583-6521
Mailing address
700 COOPER AVE, SAGINAW, MI 48602-5383
(601) 698-9583
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008872
MI
Other
Enumeration date
02/04/2019
Last updated
03/29/2021
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