Individual
MELISSA JOYE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
418 WASHINGTON ST, LAKEVIEW, MI 48850-7102
(989) 352-6474
Mailing address
100 MICHIGAN ST NE # MC-845, GRAND RAPIDS, MI 49503-2560
(616) 391-8242
(616) 391-8317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704271637
MI
Other
Enumeration date
08/31/2015
Last updated
02/22/2023
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