Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Neal Wilson MD PC

Organization Ambulatory Surgical Clinic/Center · NPI 1720259518

Neal Wilson MD PC is an Ambulatory Surgical Clinic/Center in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3011 W Grand Blvd 573
Detroit, MI 48202-3096
Phone: (313) 874-5735
Fax: (313) 874-4197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 31392 (MI)
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X · Licence AWO31392 (MI)

Record details

NPI number1720259518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Wilson — President · (313) 874-5735
NPI enumeratedMarch 19, 2008
Last updated in NPPESMarch 19, 2008
Mailing address3011 W Grand Blvd, 573, Detroit, MI 48202-3096

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