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Bradley Wilson, FNP
NPI 1508339987 · on the registry since 2019 · sole proprietor
Practice
- Address
- 22101 Moross Rd
Detroit, MI 48236 - Phone
- (313) 343-3660
- Organisation at this address
- Largo Glm Pllc
Berg Vascular Pc
St John Hospital
St. John Hospital
St. John HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 500
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-08
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