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Search › Indiana › 208000000X

Alicia Wilson, D.O

NPI 1285070284 · on the registry since 2013

Practice

Address
211 N Eddy St
South Bend, IN 46617
Phone
(574) 233-7337
Fax
(574) 239-1561
Organisation at this address
Icp Ppo, Llc
Pra Medical Inc
The South Bend Clinic Llc
The South Bend Clinic Llp
The South Bend Clinic Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
127

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
390200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana