Sarah Elizabeth Landis Wilson D.O.

NPI 1487817177 - Family Medicine - 207Q00000X

NPI Details
NPI 1487817177
Gender Female
Enumeration Date 07/03/2008
Last Updated 04/06/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
180 S 3RD ST
SUITE 400
BELLEVILLE IL, 62220-1952, US
Phone (618) 256-7311
Fax
Business Location
180 S 3RD ST
SUITE 400
BELLEVILLE IL, 62220-1952, US
Phone (618) 256-7311
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Nebraska
License Number 5916
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According to our database, Sarah Elizabeth Landis Wilson D.O. NPI is 1487817177, taxonomy code is 207Q00000X and license number is 5916, license state is located at Nebraska. Sarah Elizabeth Landis Wilson D.O. physically located at 180 S 3rd St, Belleville IL, 62220-1952. NPI Number Sarah Elizabeth Landis Wilson D.O. has the Individual type.

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1487817177 NPI number is provided on an as is basis without warranty of any kind. 1487817177 is maintained by the National Plan & Provider Enumeration System. The contents of Sarah Elizabeth Landis Wilson D.O. are for informational purposes only.