Individual
ALLECIA MICHELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
4301083538
MI
207ZP0101X
Anatomic Pathology Physician
4301083538
MI
207ZP0213X
Pediatric Pathology Physician
4301083538
MI
Other
Enumeration date
04/18/2007
Last updated
04/23/2019
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