Individual
MR. MATTHEW F WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
620 BYRON RD, HOWELL, MI 48843-1002
(517) 545-6318
(517) 545-1942
Mailing address
2414 WOODVALE TRL, BRIGHTON, MI 48114-8184
(248) 755-1873
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
50.009846RX
OH
363AM0700X
Medical Physician Assistant
Primary
5601005303
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80022907
CREDENTIALING
—
Enumeration date
07/29/2008
Last updated
02/18/2026
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