Individual
ZACHARY MICHAEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4660 S HAGADORN RD STE 500, EAST LANSING, MI 48823-6804
(517) 353-7740
(517) 355-3296
Mailing address
1927 HOYT AVE, LANSING, MI 48910-3674
(716) 982-5040
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5151017103
MI
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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