Individual
MR. MICHAEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
30500 SOUTHFIELD ROAD APT. 200, MICHAEL WILSON, SOUTHFIELD, MI 48076
(313) 255-0900
(313) 255-3465
Mailing address
17321 TELEGRAPH ROAD, DEVELOPMENT CENTERS, DETROIT, MI 48219
(313) 255-0900
(313) 255-3465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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