Individual
CALLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1210 N 1000 W, LINTON, IN 47441-5013
(812) 847-4481
(844) 658-7526
Mailing address
1185 N 1000 W, LINTON, IN 47441-5282
(812) 847-2281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01088995A
IN
Other
Enumeration date
06/03/2021
Last updated
09/04/2024
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