| Doctor Name: | ANUPAMA VANSADIA WILSON |
| NPI Number: | 1063622454 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | Oakwood Healthcare Center Allen Park 15915 Southfield Road, Suite 100 Allen Park, MI - 48101 |
| Business Phone Number: | 3132941110 |
| Business Fax Number: | |
| Mailing Address: | 1211 Alameda Blvd, TROY |
| State: | MI |
| Postal Code: | 480856738 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |