Individual
MARGARET M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 19TH AVE., CHIEF ANDREW ISAAC HEALTH CLINIC, FAIRBANKS, AK 99701
(907) 451-6681
Mailing address
520 AQUILA ST, FAIRBANKS, AK 99712-1320
(907) 457-7798
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
4284
AK
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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