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Individual

MS. MARJORIE S WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
815 BUSINESS PARK DR STE A, TRAVERSE CITY, MI 49686-8683
(231) 421-6921
(231) 421-7852
Mailing address
1909 N MITCHELL ST, CADILLAC, MI 49601
(231) 775-4401

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704191507
MI

Other

Enumeration date
10/06/2006
Last updated
06/14/2021
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