Individual
ALEC WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
181 EMMETT ST W, BATTLE CREEK, MI 49037-2963
(269) 965-8866
Mailing address
5612 SUMMER RIDGE HL APT F, KALAMAZOO, MI 49009-1046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301501183
MI
208000000X
Pediatrics Physician
4301501183
MI
Other
Enumeration date
06/05/2015
Last updated
12/03/2020
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