Individual
DENISE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
27300 WIXOM RD, NOVI, MI 48374-1120
(248) 349-6379
Mailing address
49676 TIMBER TRL, NOVI, MI 48374-2162
(248) 505-3214
(248) 349-3874
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002778
MI
Other
Enumeration date
11/01/2006
Last updated
11/30/2020
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