Search › Michigan › 374U00000X
Tahjae Wilson
NPI 1568316966 · on the registry since 2026 · sole proprietor
Practice
- Address
- 18947 San Juan Dr
Detroit, MI 48221 - Phone
- (248) 986-4305
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-23
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