Julie Wilson in Grand Rapids - Addiction Medicine
Julie Wilson - NPI 1093934267
Julie Wilson is a Addiction Medicine in Grand Rapids, Michigan. Julie Wilson practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Julie Wilson is 1093934267. The last update date is 2015-09-24.
Julie Wilson's current location address is 3210 Eagle Run Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6169571200 and fax number 6169571297. The mailing address for Julie Wilson is 3210 Eagle Run Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Julie Wilson |
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Address | 3210 Eagle Run Dr Ne, Grand Rapids, Michigan |
Phone Number | 6169571200 |
Fax Number | 6169571297 |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1093934267 |
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Provider Enumeration Date | 2007-04-25 |
Last Updated Date | 2015-09-24 |
Provider Mailing Address Detail
Address | 3210 Eagle Run Dr Ne |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495257051 |
Phone Number | 6169571200 |
Fax Number | 6169571297 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 2084A0401X |
Licence No | 5101015505 |
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Post Comment/ Review Below
What is the unique identifier code issued to Julie Wilson by the Centers for Medicare & Medicaid Services?
The Julie Wilson has been assigned the NPI (National Provider Identifier) 1093934267. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Julie Wilson's physical address?
The Julie Wilson is physically located at 3210 Eagle Run Dr Ne, in the city of Grand Rapids, MI, with the postal code 495257051.
What is Julie Wilson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Julie Wilson is Addiction Medicine, and the taxonomy code that classifies this field of practice is 2084A0401X.
When did Julie Wilson receive its 1093934267 assignment?
The Julie Wilson was assigned its 1093934267 on 2007-04-25, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Julie Wilson most recently updated or revised?
The details related to Julie Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2015-09-24.
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