Individual
DR. GRACE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4 ELLIOT WAY STE 201, MANCHESTER, NH 03103-3553
(603) 663-2456
(603) 663-2888
Mailing address
4 ELLIOT WAY STE 201, MANCHESTER, NH 03103-3553
(603) 663-3838
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
33393
NH
2086S0102X
Surgical Critical Care Physician
Primary
33393
NH
2086S0127X
Trauma Surgery Physician
33393
NH
Other
Enumeration date
04/12/2018
Last updated
10/22/2024
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