Individual
EMILY ANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
221 MICHIGAN ST NE STE 600, GRAND RAPIDS, MI 49503-2540
(616) 774-7035
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704295390
MI
Other
Enumeration date
07/30/2019
Last updated
09/28/2023
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