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Search › Michigan › 163W00000X

Dominque Wilson

NPI 1700759966 · on the registry since 2025 · sole proprietor

Practice

Address
25639 Ford Rd
Dearborn Heights, MI 48127
Phone
(313) 277-3293
Fax
(313) 277-0917
Organisation at this address
Premier Services Of Michigan, Llc
Premier Services Of Michigan, Llc
Premier Services Of Michigan, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-25

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