Individual
KRISTINA MARIA WIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6000 24 MILE RD, SHELBY TWP, MI 48316-3201
(586) 677-3310
(586) 677-3326
Mailing address
27450 SCHOENHERR RD STE 400, WARREN, MI 48088-6684
(586) 582-7550
(586) 582-7515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101021985
MI
Other
Enumeration date
06/15/2015
Last updated
06/05/2018
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