NPI 1023870052

Ronnie Hakeem Wilson

Practitioner Contractor Indianapolis, IN

Practice location

Address: 2346 S Lynhurst Dr Bldg 100, Indianapolis, IN 46241-5171
Phone: (317) 502-1456

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in Indiana →

Registry record

NPI: 1023870052
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2024
Record last updated: 25 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.