Individual
HANNAH M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1007 HARBOR HILLS DR, SUITE C, MARQUETTE, MI 49855-8977
(906) 225-5458
(906) 225-1179
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9146
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006755
MI
Other
Enumeration date
09/27/2013
Last updated
09/21/2021
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