SearchMichigan247200000X

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