Individual
DR. STEPHEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24345 HARPER AVE, ST CLAIR SHORES, MI 48080
(586) 563-3300
(586) 563-3313
Mailing address
PO BOX 806325, ST CLAIR SHORES, MI 48080
(586) 563-3300
(586) 563-3313
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
SW061846
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
SW061846
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932129319
DMENSION
MI
01
—
2505012031
BCBS OF MI
MI
05
—
4332250
—
MI
05
—
4332250 10
—
MI
01
—
540E019050
BCBSM DME
MI
01
—
5614160001
MC NCS
MI
Enumeration date
06/20/2005
Last updated
07/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us