Mark R Wilson
Surgery of the Hand Orthopaedic Hand Surgeon
5315 Elliott Dr Suite 202
Ypsilanti
, Michigan 48197-8634
Mark R Wilson
Surgery of the Hand Orthopaedic Hand Surgeon
5315 Elliott Dr Suite 202
Ypsilanti
, Michigan 48197-8634
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About
Features
Specialties
- Orthopaedic Hand Surgeon
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Mark R Wilson
- 24 Frank Lloyd Wright Dr Po Box 0446 Lobby J
- Ann Arbor, MI
- Zip : 48105-9484
- Phone :
Second Address
- Mark R Wilson
- 5315 Elliott Dr Suite 202
- Ypsilanti, MI
- Zip : 48197-8634
- Fax : (734) 712-0522
- Phone : (734) 712-0600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XS0106X | Orthopaedic Hand Surgeon | MW046336 | MI |
| Y | 2086S0105X | Surgery of the Hand | 4301046336 | MI |
National Provider Identifier
| NPI | 1144263534 |
|---|---|
| Provider Name | Mark R Wilson |
| First Address | Ann Arbor, MI 48105-9484 |
| Second Address | Ypsilanti, MI 48197-8634 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 05/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 101918045 | (05) | MI |
| B47165 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.