Individual
COURTNEY AMBER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6815 DIXIE HWY STE 1, CLARKSTON, MI 48346-2092
(248) 384-8360
Mailing address
6815 DIXIE HWY STE 1, CLARKSTON, MI 48346-2092
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
MI
Other
Enumeration date
09/11/2023
Last updated
11/20/2023
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