Individual
CAITLIN E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3535 W 13 MILE RD STE 344, ROYAL OAK, MI 48073-6770
(248) 551-0497
(248) 551-4556
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1862
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704292441
MI
Other
Enumeration date
06/08/2018
Last updated
10/20/2020
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