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1073283164
DANIEL CHRISTOPHER WILSON
GRAND RAPIDS, MI
NPI
1073283164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704288021)
Enumeration Date
2021-09-20
Last Update Date
2021-11-22
Business Address
DANIEL CHRISTOPHER WILSON NP
2902 BRADFORD ST NE
GRAND RAPIDS, MI 49525-6427
Phone number: 616-885-5200
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Mailing Address
DANIEL CHRISTOPHER WILSON NP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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