Hallie J Wilson DO

NPI 1003881053 - Family Medicine - 207Q00000X

NPI Details
NPI 1003881053
Gender Female
Enumeration Date 02/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
114 N MAIN ST
ITHACA MI, 48847, US
Phone (989) 875-4166
Fax (989) 875-3600
Business Location
PO BOX 730
406 E ELM ST
CARSON CITY MI, 48811, US
Phone (989) 584-3131
Fax (989) 584-6734
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 5101011981
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According to our database, Dr. Hallie J Wilson DO NPI is 1003881053, taxonomy code is 207Q00000X and license number is 5101011981, license state is located at Michigan. Hallie J Wilson DO physically located at 114 N Main St, Ithaca MI, 48847. NPI Number Hallie J Wilson DO has the Individual type.

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1003881053 NPI number is provided on an as is basis without warranty of any kind. 1003881053 is maintained by the National Plan & Provider Enumeration System. The contents of Hallie J Wilson DO are for informational purposes only.