Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JULIE MARIE WILSON, D.O.
ActiveJULIE MARIE WILSON, D.O. is a Addiction Psychiatry healthcare provider located in GRAND RAPIDS, Michigan. NPI 1093934267 is currently active in the NPPES registry. Verify at CMS.
Addiction Psychiatry · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1093934267
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2007 (19.120243202703 yrs)
- Last Updated
- Oct 16, 2024
- Licenses
-
5101015505 (MI)5101015505 (MI)
Practice Information
- Address
-
1179 E PARIS AVE SE STE 100GRAND RAPIDS, MI, 495463682Browse MI providers · Browse ZIP 49546
- Phone
- 6164005433
- Fax
- 6163202034
- Primary Specialty
-
Addiction Psychiatry
2084A0401X
- Additional Specialty
- Addiction Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.