IndividualActive
Angela Wilson, PAC
NPI 1376536607 · Physician Assistant · Shelby Township, MI
Provider details
- NPI number
- 1376536607
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- 5601003884 (MI)
Practice location
51221 Schoenherr Rd Ste 201
Shelby Township, MI 48315-2718
Phone: (586) 323-4450
Fax: (586) 323-4448
Mailing address
1 Ford Pl Ste 3a
Detroit, MI 48202-3450
Registry dates
- Enumerated
- 2005-08-23
- Last updated
- 2026-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.