Individual provider · Type 1 NPI

Daniel Christopher Wilson, NP

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1073283164 Active

Practice location

2902 Bradford St NE
Grand Rapids, MI 49525-6427

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704288021 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1073283164

Daniel Christopher Wilson, NP's National Provider Identifier is 1073283164, issued on Sep 20, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 22, 2021.