Andrea Gail Wilson PA

NPI 1841282217 - Physician Assistant - 363A00000X

NPI Details
NPI 1841282217
Gender Female
Enumeration Date 08/22/2005
Last Updated 05/15/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1830 STATE HIGHWAY 9
DECORAH IA, 52101-7301, US
Phone (563) 382-3140
Fax
Business Location
1836 SOUTH AVE
LA CROSSE WI, 54601-5429, US
Phone (608) 782-7300
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Iowa
License Number 001466
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According to our database, Andrea Gail Wilson PA NPI is 1841282217, taxonomy code is 363A00000X and license number is 001466, license state is located at Iowa. Andrea Gail Wilson PA physically located at 1830 State Highway 9, Decorah IA, 52101-7301. NPI Number Andrea Gail Wilson PA has the Individual type.

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1841282217 NPI number is provided on an as is basis without warranty of any kind. 1841282217 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Gail Wilson PA are for informational purposes only.