Individual
EMILY HAUTMAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 WOODLAND DR, SALINE, MI 48176-1620
(734) 429-2302
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301109407
MI
207R00000X
Internal Medicine Physician
Primary
4301502446
MI
208000000X
Pediatrics Physician
4301109407
MI
208000000X
Pediatrics Physician
4301502446
MI
Other
Enumeration date
06/28/2016
Last updated
08/25/2020
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