Marla Kay Wilson DPM

NPI 1013981596 - Podiatrist - 213E00000X

NPI Details
NPI 1013981596
Gender Female
Enumeration Date 02/14/2006
Last Updated 03/25/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1522 S 5TH ST
SPRINGFIELD IL, 62703-2549, US
Phone (217) 522-3622
Fax (217) 522-3046
Business Location
1522 S 5TH ST
SPRINGFIELD IL, 62703-2549, US
Phone (217) 522-3622
Fax (217) 522-3046
Toxanomy
Taxonomy Code 213E00000X
License State Illinois
License Number 016-004880
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According to our database, Dr. Marla Kay Wilson DPM NPI is 1013981596, taxonomy code is 213E00000X and license number is 016-004880, license state is located at Illinois. Marla Kay Wilson DPM physically located at 1522 S 5th St, Springfield IL, 62703-2549. NPI Number Marla Kay Wilson DPM has the Individual type.

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1013981596 NPI number is provided on an as is basis without warranty of any kind. 1013981596 is maintained by the National Plan & Provider Enumeration System. The contents of Marla Kay Wilson DPM are for informational purposes only.