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Individual

MRS. CHERIE MICHELLE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
9045 US HIGHWAY 31, BERRIEN SPRINGS, MI 49103-1804
(269) 473-2222
(269) 473-6880
Mailing address
9045 US HIGHWAY 31, BERRIEN SPRINGS, MI 49103-1804
(269) 473-2222
(269) 473-6880

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704254611
MI
363LF0000X
Family Nurse Practitioner
71002297A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704254611
FAMILY NURSE PRACTITIONER
MI
01
71002297A
STATE LICENSE
IN
Enumeration date
12/01/2006
Last updated
02/20/2008
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