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Contact Information

ANGELA T WILSON, PAC
50505 SCHOENHERR
SUITE 240
SHELBY, MI48315
 Phone: 586-323-4450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANGELA T WILSON · (Female)

NPI # 1376536607
Status Active
Credentials PAC
Entity Individual
Enumeration date 08/23/2005
Last updated 05/27/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601003884
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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