Individual
BRANDI WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 N 2ND AVE, IRON RIVER, MI 49935-1451
(906) 774-0522
Mailing address
715 PYLE DR, KINGSFORD, MI 49802-4456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704334228
MI
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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