| Sally Wilson Md Pllc | |
|
121 S Cochran Ave Suite C Charlotte MI 48813-1568 | |
| (517) 543-9095 | |
| (517) 543-3339 |
| Full Name | Sally Wilson Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 121 S Cochran Ave, Charlotte, Michigan |
| Authorized Official Name and Position | Sally K Wilson (OWNER) |
| Authorized Official Contact | 5175435325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Wilson Md Pllc 121 S Cochran Ave Suite C Charlotte MI 48813-1568 Ph: (517) 543-9095 | Sally Wilson Md Pllc 121 S Cochran Ave Suite C Charlotte MI 48813-1568 Ph: (517) 543-9095 |
| NPI Number | 1275702607 |
|---|---|
| Provider Enumeration Date | 02/29/2008 |
| Last Update Date | 02/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275702607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301068222 (Michigan) | Primary |
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