Organization
SHERESA WILSON PA-C LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERESA WILSON (OWNER)
(260) 452-6700
Entity
Organization
Contact information
Practice address
419 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6704
(260) 452-6700
Mailing address
419 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6704
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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