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Michael W Wilson
Land Ambulance in Winamac, Indiana
NPI 1134298870

Michael W Wilson is a Land Ambulance based in Winamac, IN and is specialized in Land Transport. Michael W Wilson practices in Winamac, IN. The NPI Number for Michael W Wilson is 1134298870 and holds a License No. 0786 (Indiana).

The current practice location address for Michael W Wilson is 115 E Pearl St, Winamac, IN and can be reached out via phone at 574-946-7226 and via fax at 574-946-4141.

Location: 115 E Pearl St, Winamac, IN, 46996-1310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134298870
Provider Name
Michael W Wilson
Credential
Provider Entity Type
Organization
Address
115 E Pearl St, Winamac, IN, 46996-1310
Phone Number
574-946-7226
Fax Number
574-946-4141
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000217822 01 IN ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
115 E Pearl St
City
Winamac
State
Indiana
Zip
46996-1310
Phone Number
574-946-7226
Fax Number
574-946-4141
person
Provider Business Mailing Address Details
Address
115 E Pearl St
City
Winamac
State
Indiana
Zip
46996-1310
Phone Number
574-946-7226
Fax Number
574-946-4141
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
3416L0300X
License No.
0786 (Indiana)
Definition
Definition to come...
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