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DANIELLE WILSON, PHYSICIAN ASSISTANT

PHYSICIAN ASSISTANT

NPI: 1982248126Individual

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

10005132A(IN)
Surgical Physician Assistant

Physician Assistant — Surgical

Code: 363AS0400X

0110-007882(VA)

CMS Specialties

Education

OTHER

Class of 2021

Contact & Hours

Address
100 NAVARRE PL STE 4440
SOUTH BEND, IN 46601

Quick Facts

NPI
1982248126
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1
Years in Practice
5

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