Individual
PENNY WILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-2800
(248) 898-2898
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
4301098628
MI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
4301119376
MI
Other
Enumeration date
05/20/2011
Last updated
12/28/2023
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