Individual
DR. LISA ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3500 W PURDUE AVE, MUNCIE, IN 47304-6357
(765) 747-6090
(765) 747-5069
Mailing address
3500 W PURDUE AVE, MUNCIE, IN 47304-6357
(765) 747-6090
(765) 747-5069
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01044182
IN
Other
Enumeration date
10/24/2006
Last updated
07/19/2023
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