Glenn David Wilson in Waterford - Addiction (substance Use Disorder)

Glenn David Wilson - NPI 1831294297

Glenn David Wilson is a Addiction (substance Use Disorder) in Waterford, Michigan. Glenn David Wilson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Glenn David Wilson is 1831294297. The last update date is 2007-07-08.

Glenn David Wilson's current location address is 1435 N Oakland Blvd, Waterford, Michigan. You can contact this provider via phone number 2484060090. The mailing address for Glenn David Wilson is 1435 N Oakland Blvd, Waterford, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn David Wilson
Address 1435 N Oakland Blvd, Waterford, Michigan
Phone Number 2484060090
Fax Number
Sole Proprietor Y
Credentials MS,CAC1,AD

NPI Number Detail

NPI Number 1831294297
Provider Enumeration Date 2006-09-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1435 N Oakland Blvd
City Waterford
State Michigan (MI)
Post Code 483271549
Phone Number 2484060090
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Glenn David Wilson

What is the unique identifier code issued to Glenn David Wilson by the Centers for Medicare & Medicaid Services (CMS)?

The Glenn David Wilson has been assigned the NPI (National Provider Identifier) 1831294297. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Glenn David Wilson is located?

The Glenn David Wilson is situated at the following address: 1435 N Oakland Blvd, Waterford, MI, 483271549.

What is the Glenn David Wilson's area of specialization and corresponding taxonomy classification?

The Glenn David Wilson's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.

On what date did the Glenn David Wilson receive the assignment of its 1831294297 from the Centers for Medicare & Medicaid Services?

The Glenn David Wilson was issued its 1831294297 by the Centers for Medicare & Medicaid Services on 2006-09-13.

When was the information related to Glenn David Wilson most recently updated or refreshed?

The details pertaining to the Glenn David Wilson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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