Bryant Thomas Wilson, PA-C
NPI #1013103001 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1013103001
- Entity Type
- Individual
- Name
- Bryant Thomas Wilson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 24, 2007
- Last Updated
- Apr 18, 2013
Practice Location
- Address
- 3264 N EVERGREEN DR NE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49525-9746
- Phone
- (616) 363-7339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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