Michael Lyle Wilson PC

NPI #1427220508 in Manistique, Michigan

Provider Information

NPI Number: 1427220508
Entity Type: Organization
Organization Name: Michael Lyle Wilson PC
Primary Specialty: Optometrist
Enumeration Date: Mar 28, 2008
Last Updated: Feb 21, 2013

Practice Location

Address: 101 WALNUT ST
City: Manistique
State: Michigan
ZIP Code: 49854-1435
Phone: (906) 341-5689

Authorized Official

Name: MARIE BELLVILLE
Title: ASSISTANT
Phone: (906) 341-5689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Optometrist	152W00000X	Primary

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