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Alicia Marie Wilson, DO
Student in an Organized Health Care Education/Training Program in South Bend, Indiana
NPI 1285070284

Alicia Marie Wilson is a Student in an Organized Health Care Education/Training Program based in South Bend, IN. Alicia Marie Wilson practices in South Bend, IN and has the professional credentials of DO. The NPI Number for Alicia Marie Wilson is 1285070284 and holds a License No. 02004821A (Indiana).

The current practice location address for Alicia Marie Wilson is 211 N Eddy St, South Bend, IN and can be reached out via phone at 574-233-7337 and via fax at 574-239-1561. You can also correspond with Alicia Marie Wilson through the mailing address at 211 N EDDY ST, SOUTH BEND, IN - 46617-3096 (mailing address contact number: 574-233-7337).

Location: 211 N Eddy St, South Bend, IN, 46617-3096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285070284
Provider Name
Alicia Marie Wilson
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
211 N Eddy St, South Bend, IN, 46617-3096
Phone Number
574-233-7337
Fax Number
574-239-1561
Provider Enumeration Date
05/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
211 N Eddy St
City
South Bend
State
Indiana
Zip
46617-3096
Phone Number
574-233-7337
Fax Number
574-239-1561
person
Provider Business Mailing Address Details
Address
211 N Eddy St
City
South Bend
State
Indiana
Zip
46617-3096
Phone Number
574-233-7337
Fax Number
574-239-1561
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
()
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
02004821A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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