Individual
BARBARA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4649 STATE PARK HWY, INTERLOCHEN, MI 49643-9527
(231) 276-3243
Mailing address
4649 STATE PARK HWY, INTERLOCHEN, MI 49643-9527
(231) 276-3243
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R638607
—
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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