Individual
MR. MICHAEL ANTHONY WILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
188 W SPRUCE ST, SAINT IGNACE, MI 49781-1649
(906) 430-1887
Mailing address
188 W SPRUCE ST, SAINT IGNACE, MI 49781-1649
(906) 430-1887
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
3203048370
MI
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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