Individual
DAVID A WILKESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
403 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 283-1107
(574) 283-1256
Mailing address
403 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 283-1107
(574) 283-1256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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