Danielle K Wilson, PHYSICIAN ASSISTANT
NPI #1982248126 in South Bend, Indiana
Provider Information
- NPI Number
- 1982248126
- Entity Type
- Individual
- Name
- Danielle K Wilson, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Oct 31, 2019
- Last Updated
- Feb 3, 2026
Practice Location
- Address
- 100 NAVARRE PL STE 4440
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46601-1171
- Phone
- (574) 647-3725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Surgical — Surgical |
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