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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS RICHARD WILSON, PA-C

Active

NICHOLAS RICHARD WILSON, PA-C is a Medical Physician Assistant healthcare provider located in TEMPERANCE, Michigan. NPI 1407871262 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · TEMPERANCE, MI

Registration Details

NPI Number
1407871262
Provider Type
Individual
Gender
Male
NPI Issued
Jul 13, 2006 (20.134810950999 yrs)
Last Updated
Feb 26, 2014
License
5601005306 (MI)

Practice Information

Address
8765 LEWIS AVE
TEMPERANCE, MI, 481829583
Browse MI providers · Browse ZIP 48182
Phone
7348473802
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in TEMPERANCE, MI

Name Credential NPI
MR. EDWARD CHARLES FOLLAS PA-C 1912956103
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.