Individual
STEPHANIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5264 COUNCIL ST NE, CEDAR RAPIDS, IA 52402-2471
(319) 221-8444
Mailing address
5264 COUNCIL ST NE STE 100, CEDAR RAPIDS, IA 52402-2477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A122450
IA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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