NPI 1073757530

Tracie E Wilson

Practitioner Driver Greensburg, IN

Practice location

Address: 3198 W County Road 500 N, Greensburg, IN 47240-9757
Phone: (812) 593-5485
Fax: (812) 663-8632

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 8918-41-7119 (IN)

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Registry record

NPI: 1073757530
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Apr 2009
Record last updated: 28 Apr 2009

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.