Individual
JESSICA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1266 E SHERMAN BLVD, MUSKEGON, MI 49444-1847
(231) 739-9009
(231) 733-0566
Mailing address
1266 E SHERMAN BLVD, MUSKEGON, MI 49444-1847
(231) 739-9009
(231) 733-0566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005489
MI
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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