Individual
MADELINE J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
123 SOUTH ST, CHELSEA, MI 48118-1235
(734) 475-8500
Mailing address
738 S MAIN ST, CHELSEA, MI 48118-1328
(734) 945-5657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600919APP21
MI
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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