Individual
MR. WADE W WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
608 WRIGHT AVE, ALMA, MI 48801-1600
(989) 463-4971
Mailing address
PO BOX 69, ALMA, MI 48801-0069
(989) 463-4971
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
704287777
MI
Other
Enumeration date
11/29/2011
Last updated
03/29/2012
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