Grant Thomas Wilson

NPI #1720624695 in Plymouth, Indiana

Provider Information

NPI Number
1720624695
Entity Type
Individual
Name
Grant Thomas Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Hearing Instrument Specialist
Enumeration Date
Nov 26, 2019
Last Updated
Nov 26, 2019

Practice Location

Address
1407 N MICHIGAN ST
State
Indiana
ZIP Code
46563-1119
Phone
(574) 941-2220

Specialties & Taxonomy Codes

Specialty
Hearing Instrument Specialist

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