Individual
SAMUEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 BARFIELD DR, HASTINGS, MI 49058-9018
(269) 948-8041
(269) 948-9139
Mailing address
500 BARFIELD DR, HASTINGS, MI 49058-9018
(269) 948-8041
(269) 948-9139
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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