Individual
DANA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
Mailing address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RO28033
SD
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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