Alicia Marie Wilson
D.O. | Pediatrics | Female
Alicia Marie Wilson, D.O. is a South Bend, Indiana based Pediatric doctor with medical specialization in
General Pediatrics. Alicia Marie Wilson is also known as
Alicia Marie Keck.
Current practice location of Alicia Marie Wilson is
211 N Eddy St, South Bend, Indiana - 46617-3096. She can be contacted on phone at
574-233-7337 and fax number 574-239-1561.
Alicia Marie Wilson is a sole proprietor of her business.
NPI number (Unique professional ID) for Alicia Marie Wilson is
1285070284 which was assigned by NPPES on 16 May, 2013 and it was last updated on 27 Jun, 2016.
Alicia Marie Wilson license number is
02004821A for Pediatrics (208000000X) in Indiana.
Alicia Marie Wilson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Alicia Marie Wilson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Alicia Marie Wilson |
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| Other Name : | Alicia Marie Keck |
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| Credential : | D.O. |
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| Gender : | Female |
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Business Address:
Alicia Marie Wilson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 211 N Eddy St
South Bend, IN, 46617-3096
United States |
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| Phone Number : | 574-233-7337 |
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| Fax Number : | 574-239-1561 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285070284 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 May, 2013 |
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| Last Updated On : | 27 Jun, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alicia Marie Wilson are as mentioned. Primary taxonomy code for Alicia Marie Wilson, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | 02004821A | IN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 211 N Eddy St
South Bend, IN, 46617-3096
United States |
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| Phone Number : | 574-233-7337 |
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| Fax Number : | 574-239-1561 |
|---|
Business Location:
Patients can refer following map for directions to
Alicia Marie Wilson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.