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

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

The current practice location address for Julie Wilson is 3210 Eagle Run Dr Ne, Grand Rapids, MI and can be reached out via phone at 616-957-1200 and via fax at 616-957-1297.

Location: 3210 Eagle Run Dr Ne, Grand Rapids, MI, 49525-7051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093934267
Provider Name
Julie Wilson
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3210 Eagle Run Dr Ne, Grand Rapids, MI, 49525-7051
Phone Number
616-957-1200
Fax Number
616-957-1297
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3210 Eagle Run Dr Ne
City
Grand Rapids
State
Michigan
Zip
49525-7051
Phone Number
616-957-1200
Fax Number
616-957-1297
person
Provider Business Mailing Address Details
Address
3210 Eagle Run Dr Ne
City
Grand Rapids
State
Michigan
Zip
49525-7051
Phone Number
616-957-1200
Fax Number
616-957-1297
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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