Individual
AUBREY LINN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8212 N LINDBERGH BLVD, FLORISSANT, MO 63031-7107
(314) 831-2221
(314) 831-0199
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 468-7370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2018021081
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194879023
—
MI
Enumeration date
07/03/2018
Last updated
11/19/2019
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