Individual
SHERI A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1245 E IRELAND RD, SOUTH BEND, IN 46614-3448
(743) 127-0225
Mailing address
516 WINDY CT, KOKOMO, IN 46901-3703
(269) 240-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000582A
IN
Other
Enumeration date
08/22/2005
Last updated
06/07/2018
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