Individual
ROBERT J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
39320 HAZEL ST, HARRISON TWP, MI 48045-2134
(586) 260-6990
Mailing address
39320 HAZEL ST, HARRISON TWP, MI 48045-2134
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704231251
MI
Other
Enumeration date
03/07/2011
Last updated
12/09/2022
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