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Individual

MR. WILLIAM WRIGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AG-ACNP

Contact information

Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
0024190190
VA
363L00000X
Nurse Practitioner
Primary
4704357915
MI
363L00000X
Nurse Practitioner
82799
NM
363LA2100X
Acute Care Nurse Practitioner
0024190190
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098873
WI
Enumeration date
10/10/2016
Last updated
03/10/2026
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