Wilson, Michael

Wilson, Michael is an individual health care provider with primary practice located at 6071 W Outer Dr , Detroit MI 48235-2624. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Wilson, Michael can be contacted via phone (313) 966-1941.

Contact Information

Primary practice address
6071 W Outer Dr Detroit MI 48235-2624
Phone: (313) 966-1941
Fax: (313) 966-4204
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X DO2874 Nevada

Profile Details

NPI number 1912368937
LBN Legal business name Wilson, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2016
Last updated Apr 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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