Individual
DR. HALLIE J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
114 N MAIN ST, ITHACA, MI 48847
(989) 875-4166
(989) 875-3600
Mailing address
PO BOX 730, 406 E ELM ST, CARSON CITY, MI 48811
(989) 584-3131
(989) 584-6734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101011981
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3381288
—
MI
Enumeration date
02/22/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us