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SAMANTHA SKINNER WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-8875

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01083719A
IN
208000000X
Pediatrics Physician
R4196
KY
208M00000X
Hospitalist Physician
52425
KY

Other

Enumeration date
03/29/2016
Last updated
07/01/2020
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