Individual
MR. WILFRED DALE HODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRM DEVELOPMENT PLA
Contact information
Practice address
1468 WOODLAND DR, INKSTER, MI 48141-1744
(313) 784-6463
Mailing address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3100
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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