Individual
DR. SHEILA LANELL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5637 W 56TH ST, INDIANAPOLIS, IN 46254-1652
(317) 297-8800
(317) 297-9850
Mailing address
5637 W 56TH ST, INDIANAPOLIS, IN 46254-1652
(317) 297-8800
(317) 297-9850
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
08001636A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200131080 A
—
IN
Enumeration date
11/11/2006
Last updated
12/01/2008
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