| Michael Lyle Wilson Pc | |
|
101 Walnut St, Manistique, MI 49854-1435 | |
| (906) 341-5689 | |
| (906) 341-5723 |
| Full Name | Michael Lyle Wilson Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 101 Walnut St, Manistique, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427220508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 02482 (Michigan) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 02482 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Lyle Wilson Pc 101 Walnut St, Manistique, MI 49854-1435 Ph: () - | Michael Lyle Wilson Pc 101 Walnut St, Manistique, MI 49854-1435 Ph: (906) 341-5689 |
Dr. Shelly D Baker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1252 W Lakeshore Dr, Manistique, MI 49854 Phone: 906-341-3933 Fax: 906-341-3944 | |
Shelly D. Baker, Od, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1252 W Lakeshore Dr, Manistique, MI 49854 Phone: 906-341-3933 Fax: 906-341-3944 | |
Michael L Wilson, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Walnut St, Manistique, MI 49854 Phone: 906-341-5689 Fax: 906-341-5723 |