Individual
DR. INGRID N. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6255 INKSTER RD, SUITE 203, GARDEN CITY, MI 48135-2577
(734) 458-3288
(734) 458-3286
Mailing address
6255 INKSTER RD, SUITE 203, GARDEN CITY, MI 48135-2577
(734) 458-3288
(734) 458-3286
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301405574
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4702647
—
MI
Enumeration date
09/30/2005
Last updated
04/12/2017
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