Individual
ALLISON MARIE WILDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
26206 W 12 MILE RD STE 105, SOUTHFIELD, MI 48034-1799
(248) 200-3717
Mailing address
26206 W 12 MILE RD STE 105, SOUTHFIELD, MI 48034-1799
(248) 200-3715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704360424
MI
363LF0000X
Family Nurse Practitioner
Primary
4704360424
MI
Other
Enumeration date
02/14/2021
Last updated
11/21/2022
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