Burshonda Wilson
NPI 1023800562 · on the registry since 2025 · sole proprietor
Practice
- Address
- 13217 Frazho Rd
Warren, MI 48089 - Phone
- (313) 977-7544
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan