Individual
DAVID M. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
3801 GLENKERRY CT STE 2, PORTAGE, MI 49024-0711
(269) 323-1527
Mailing address
3801 GLENKERRY CT STE 2, PORTAGE, MI 49024-0711
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901019878
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
4301100207
MI
Other
Enumeration date
06/25/2008
Last updated
10/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us