Individual
CAITLIN J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1230 E RUSHOLME ST, SUITE 150, DAVENPORT, IA 52803-2452
(563) 421-3990
(563) 421-3999
Mailing address
865 LINCOLN RD STE L10, BETTENDORF, IA 52722-4159
(563) 355-9200
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1131937
IA
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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