Organization
JEFFREY F WILSON OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY F WILSON OD (OWNER)
(989) 967-8668
Entity
Organization
Contact information
Practice address
126 W WHEATLAND AVE, REMUS, MI 49340-5115
(989) 967-8668
(989) 967-3032
Mailing address
126 W WHEATLAND AVE, REMUS, MI 49340-5115
(989) 967-8668
(989) 967-3032
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003093
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4373941
—
MI
Enumeration date
01/07/2011
Last updated
01/07/2011
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