Individual
AMANDA MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1040 S WINTER ST, SUITE 1022, ADRIAN, MI 49221-3876
(517) 263-8905
Mailing address
1040 S WINTER ST, SUITE 1022, ADRIAN, MI 49221-3876
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704280384
MI
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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