person
Dr. Tj Lamar Wilson, MD
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1578205431

Tj Lamar Wilson is a Student in an Organized Health Care Education/Training Program based in Jackson, MI. Tj Lamar Wilson practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Tj Lamar Wilson is 1578205431 and holds a License No. (Michigan).

The current practice location address for Tj Lamar Wilson is 4201 Saint Antoine St # 9C, Detroit, MI and can be reached out via phone at 313-745-7888.

Location: 4201 Saint Antoine St # 9C, Detroit, MI, 49202-3248
person
Provider Profile Details
NPI Number
1578205431
Provider Name
Tj Lamar Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4201 Saint Antoine St # 9C, Detroit, MI, 49202-3248
Phone Number
313-745-7888
Fax Number
Provider Enumeration Date
04/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4201 Saint Antoine St # 9C
City
State
Zip
48201-2153
Phone Number
313-745-7888
Fax Number
person
Provider Business Mailing Address Details
Address
4201 Saint Antoine St # 9C
City
State
Zip
48201-2153
Phone Number
313-745-7888
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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