Individual
DR. TRISTAN MCMEEKAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 808-3171
Mailing address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 808-3171
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2010021908
MO
207L00000X
Anesthesiology Physician
Primary
4301104481
MI
Other
Enumeration date
07/01/2010
Last updated
04/18/2019
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