Most Relevant Information
Provider Data
| NPI Number: | 1003645847 |
| Provider Name: | BRIAN WILKERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 163WH0200X |
| Specialty: | Registered Nurse |
| License Number: | 4704283636 |
Most Important Dates
| Enumeration Date: | 07/30/2024 |
| Last Updated: | 08/27/2024 |
Provider Practice Location
308 CAMBRIDGE DR
DEXTER
MI
481302505
Practice Location Phone/Fax
| Phone: | 5173920723 |
| Fax: |
Provider Mailing Location
308 CAMBRIDGE DR
DEXTER
MI
481302505
Provider Mailing Phone/Fax
| Phone: | 5173920723 |
| Fax: |