Individual
DAVID ROBERT WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704303854
MI
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.019791
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333004
—
OH
01
—
H679220
MEDICARE PTAN
OH
Enumeration date
12/21/2018
Last updated
11/03/2023
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