Individual
MARSHELL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20640 COUNTRY CLUB DR, HARPER WOODS, MI 48225-1652
(313) 412-9680
Mailing address
20640 COUNTRY CLUB DR, HARPER WOODS, MI 48225-1652
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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