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

Dr. Eline Haenebalcke Wilson, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1174730444

Dr. Eline Haenebalcke Wilson, MD is an Obstetrics/Gynecology in Detroit, Michigan. Qualified in 2006, 20 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
20
Licensed in
CA, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3750 Woodward Ave Ste 200C
Detroit, MI 48201-2007
Phone: (313) 993-4645
Fax: (313) 993-4654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301100277 (MI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence A116814 (CA)

Record details

NPI number1174730444
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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