IndividualActive
Julie Wilson, D.O.
NPI 1093934267 · Addiction Medicine (Psychiatry & Neurology) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1093934267
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 5101015505 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1179 E Paris Ave Se Ste 100
Grand Rapids, MI 49546-3682
Phone: (616) 400-5433
Fax: (616) 320-2034
Approximate (ZIP-level) locationGet directions
Mailing address
1179 E Paris Ave Se Ste 100
Grand Rapids, MI 49546-3682
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.