Wilson, John Michael

Wilson, John Michael is an individual health care provider with primary practice located at 5900 Byron Center Ave Sw , Wyoming MI 49519-9606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Wilson, John Michael can be contacted via phone (616) 252-7429.

Contact Information

Primary practice address
5900 Byron Center Ave Sw Wyoming MI 49519-9606
Phone: (616) 252-7429
Fax: (616) 252-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 4301061808 Michigan

Profile Details

NPI number 1538124508
LBN Legal business name Wilson, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jun 9th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538124508 NPPES
Michigan MEDICAID 1538124508
Michigan Other 4301061808
Michigan MEDICAID 3440997

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