Individual
DUANE LEE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8708 N SHORE DR, CLARKLAKE, MI 49234-9794
(517) 529-3151
Mailing address
8708 N SHORE DR, CLARKLAKE, MI 49234-9794
(517) 529-3151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704262470
MI
Other
Enumeration date
06/24/2018
Last updated
06/24/2018
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