Individual
SERENA RENEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
23655 NOVI RD, NOVI, MI 48375-5442
(248) 277-3440
Mailing address
23241 RENSSELAER ST, OAK PARK, MI 48237-6800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001775
MI
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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