NPI 1356988547

Matthew Royal Wilson, CRNA

Practitioner Certified Registered Nurse Anesthetist Petoskey, MI

Practice location

Address: 416 Connable Ave, Petoskey, MI 49770-2212
Phone: (231) 348-2795
Fax: (231) 348-2031
Mailing address: 602 Jackson St, Petoskey, MI 49770-2220

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 4704299657 (MI)

Other Nurse Anesthetist, Certified Registered providers in Michigan →

Registry record

NPI: 1356988547
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2019
Record last updated: 1 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.