Randy R Wilson
Randy R Wilson is a Case Manager/Care Coordinator in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
790 Fuller Ave NEGrand Rapids, MI 49503-1918
Phone: (616) 855-5276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1386378560 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2022 |
| Last updated in NPPES | July 13, 2022 |
| Certification date | July 13, 2022 |
| Mailing address | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 |
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