Individual
NOELLE JOSEPHINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BKIN, MSCPT, DPT
Contact information
Practice address
28210 OLD TOWNE RD, CHISAGO CITY, MN 55013-9556
(651) 257-0575
Mailing address
PO BOX 393, CAMBRIDGE, MN 55008-0393
(780) 938-5944
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4991
MN
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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