Individual
LEIGH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7736 ORTONVILLE RD STE A, CLARKSTON, MI 48348-4483
(248) 625-5885
Mailing address
5809 WOODSTONE CT, CLARKSTON, MI 48348-4767
(248) 707-6270
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704276655
MI
Other
Enumeration date
11/08/2015
Last updated
11/08/2015
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