Search › Michigan › 247200000X
Javon Wilson
NPI 1912510918 · on the registry since 2020 · sole proprietor
Practice
- Address
- 400 Renaissance Ctr Ste 2600
Detroit, MI 48243 - Phone
- (855) 832-6727
- Organisation at this address
- P-Cor, Llc
Kas Mi, Llc
Aldad Medical Pc
Faith Walk, Inc.
Family Aide Llc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 275
Additional practice sites
- 24200 Woodward Ave, Pleasant Ridge, MI
- 32100 Telegraph Rd Ste 205, Bingham Farms, MI
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Also registered as
- 156F00000X
171M00000X - Sex
- Male
- Record last updated
- 2021-06-23
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