Alicia Marie Wilson, D.O.
NPI #1285070284 in South Bend, Indiana
Provider Information
- NPI Number
- 1285070284
- Entity Type
- Individual
- Name
- Alicia Marie Wilson, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics
- Credential
- D.O.
- Enumeration Date
- May 16, 2013
- Last Updated
- Jun 27, 2016
Practice Location
- Address
- 211 N EDDY ST
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46617-3096
- Phone
- (574) 233-7337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Student in an Organized Health Care Education/Training Program |
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