Individual
DR. BLAKE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-7000
Mailing address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301096502
MI
Other
Enumeration date
05/17/2010
Last updated
07/09/2014
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