Wilson, Mark R

Wilson, Mark R is an individual health care provider with primary practice located at 5315 Elliott Dr Suite 202, Ypsilanti MI 48197-8634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Wilson, Mark R can be contacted via phone (734) 712-0600.

Contact Information

Primary practice address
5315 Elliott Dr Suite 202 Ypsilanti MI 48197-8634
Phone: (734) 712-0600
Fax: (734) 712-0522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MW046336 Michigan
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 4301046336 Michigan

Profile Details

NPI number 1144263534
LBN Legal business name Wilson, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 5th, 2016 - about 8 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 1144263534 NPPES
Michigan MEDICAID 101918045

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