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Individual

PAULA WILHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 453-8346
Mailing address
2449 RELIABLE PKWY, CHICAGO, IL 60686-0001
(317) 802-3139
(317) 870-0499

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01046419
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200281270
IN
Enumeration date
07/14/2006
Last updated
08/29/2008
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