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Gwendolyn Wilson

NPI 1851477962 · on the registry since 2006 · sole proprietor

Practice

Address
8880 Ward St
Detroit, MI 48228
Phone
(313) 934-0811
Fax
(313) 931-2950

Registry record

Primary taxonomy
251E00000X
251E00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan