Individual
ABBIGALE JOAN ELLYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
906 BUSINESS PARK DR, TRAVERSE CITY, MI 49686-8683
(231) 935-8750
(231) 935-8749
Mailing address
906 BUSINESS PARK DR, TRAVERSE CITY, MI 49686-8683
(231) 935-8750
(231) 935-8749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301096549
MI
Other
Enumeration date
06/08/2010
Last updated
12/31/2020
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