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Julie Marie Wilson, DO
Addiction Medicine (Psychiatry & Neurology) Physician in Grand Rapids, Michigan
NPI 1093934267

Julie Marie Wilson is an Addiction Medicine (Psychiatry & Neurology) Physician based in Grand Rapids, MI and is specialized in Addiction Medicine. Julie Marie Wilson practices in Grand Rapids, MI and has the professional credentials of DO. The NPI Number for Julie Marie Wilson is 1093934267 and holds a License No. 5101015505 (Michigan).

The current practice location address for Julie Marie Wilson is 1179 E Paris Ave Se Ste 100, Grand Rapids, MI and can be reached out via phone at 616-400-5433 and via fax at 616-320-2034.

Location: 1179 E Paris Ave Se Ste 100, Grand Rapids, MI, 49546-3682
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093934267
Provider Name
Julie Marie Wilson
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1179 E Paris Ave Se Ste 100, Grand Rapids, MI, 49546-3682
Phone Number
616-400-5433
Fax Number
616-320-2034
Provider Enumeration Date
04/25/2007
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
1179 E Paris Ave Se Ste 100
City
Grand Rapids
State
Michigan
Zip
49546-3682
Phone Number
616-400-5433
Fax Number
616-320-2034
person
Provider Business Mailing Address Details
Address
1179 E Paris Ave Se Ste 100
City
Grand Rapids
State
Michigan
Zip
49546-3682
Phone Number
616-400-5433
Fax Number
616-320-2034
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
5101015505 (Michigan)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
5101015505 (Michigan)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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