Individual
DR. ALEC WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44200 WOODWARD AVE STE 207, PONTIAC, MI 48341-5045
(248) 322-6103
(248) 322-6108
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301108336
MI
Other
Enumeration date
07/14/2015
Last updated
09/15/2020
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