Individual provider · Type 1 NPI

Avise Wilson

Technician/Technologist · Bingham Farms, MI

NPI number 1104488741 Active

Practice location

32100 Telegraph Rd Ste 185
Bingham Farms, MI 48025

Call (248) 712-4266 Map

Other practice locations

  • 27777 Inkster Rd, Farmington Hills, MI 48334-5326 · (248) 436-4400
  • 27777 Inkster Rd, Farmington Hills, MI 48334-5326 · (248) 436-4400

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1104488741

Avise Wilson's National Provider Identifier is 1104488741, issued on Jul 3, 2019. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Bingham Farms, MI. The record was last updated on Aug 21, 2019.