IndividualActive
Alec Wilson, M.D.
NPI 1801270327 · Urology Physician · Pontiac, MI
Provider details
- NPI number
- 1801270327
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301108336 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
44200 Woodward Ave Ste 207
Pontiac, MI 48341-5045
Phone: (248) 322-6103
Fax: (248) 322-6108
Approximate (ZIP-level) locationGet directions
Mailing address
20952 E 12 Mile Rd Ste 200
Saint Clair Shores, MI 48081-3203
Registry dates
- Enumerated
- 2015-07-14
- Last updated
- 2020-09-15
- Certified
- 2020-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.