Individual
KRYSTEN ROSE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
630 W 14TH ST, TRAVERSE CITY, MI 49684-4050
(231) 570-8657
Mailing address
7937 BARNEY RD, TRAVERSE CITY, MI 49684-8327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
06/13/2025
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