Cristyn Wilson

NPI #1508311614 in Redford, Michigan

Provider Information

NPI Number: 1508311614
Entity Type: Individual
Name: Cristyn Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 18, 2016
Last Updated: Aug 18, 2016

Practice Location

Address: 16006 LOLA DR
City: Redford
State: Michigan
ZIP Code: 48239-3875
Phone: (313) 806-0031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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