Individual
DANIEL WILMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7393 WINDRIDGE WAY, BROWNSBURG, IN 46112-8801
(317) 619-4592
Mailing address
7393 WINDRIDGE WAY, BROWNSBURG, IN 46112-8801
(317) 619-4592
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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