Nicholas Richard Wilson, PA-C
NPI #1407871262 in Temperance, Michigan
Provider Information
- NPI Number
- 1407871262
- Entity Type
- Individual
- Name
- Nicholas Richard Wilson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jul 13, 2006
- Last Updated
- Feb 26, 2014
Practice Location
- Address
- 8765 LEWIS AVE
- City
- Temperance
- State
- Michigan
- ZIP Code
- 48182-9583
- Phone
- (734) 847-3802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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