Individual provider · Type 1 NPI

Emma Wilson, MBBCH, MSC

Diagnostic Radiology Physician · Grand Rapids, MI

NPI number 1629998034 Active

Practice location

100 Michigan St NE
Grand Rapids, MI 49503-2560

Call (616) 391-1774 Map

Mailing address

201 Michigan St NW Apt 611
Grand Rapids, MI 49503-2327

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X4351056439 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1629998034

Emma Wilson, MBBCH, MSC's National Provider Identifier is 1629998034, issued on Jul 16, 2026. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 16, 2026.