Organization
DENISE WILSON O D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH DENISE WILSON O.D. (OWNER)
(248) 360-0121
Entity
Organization
Contact information
Practice address
3271 UNION LAKE RD, COMMERCE TWP, MI 48382-4550
(248) 360-0121
Mailing address
3271 UNION LAKE RD, COMMERCE TWP, MI 48382-4550
(248) 360-0121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002778
MI
Other
Enumeration date
10/27/2006
Last updated
05/19/2011
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