| Dr Hallie J Wilson, DO | |
|
114 N Main St, Ithaca, MI 48847 | |
| (989) 875-4166 | |
| (989) 875-3600 |
| Full Name | Dr Hallie J Wilson |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 114 N Main St, Ithaca, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003881053 | NPI | - | NPPES |
| 3381288 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101011981 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hallie J Wilson, DO Po Box 730, 406 E Elm St, Carson City, MI 48811 Ph: (989) 584-3131 | Dr Hallie J Wilson, DO 114 N Main St, Ithaca, MI 48847 Ph: (989) 875-4166 |
Juan Jose Montoya Novoa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 114 N Main St, Ithaca, MI 48847 Phone: 989-875-4166 Fax: 989-875-5168 | |
Mr. Donald Graham Prouty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 N Pine River St, Ithaca, MI 48847 Phone: 989-875-3722 Fax: 989-875-3732 | |
Dr. Hillary Agnes Shemes, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St, Ithaca, MI 48847 Phone: 989-875-4166 Fax: 989-875-5168 | |
Dr. David J Freestone, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St, Ithaca, MI 48847 Phone: 989-875-4166 Fax: 989-875-3600 | |
Dr. Michael Andrew Stack, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 N Pine River St, Ithaca, MI 48847 Phone: 989-875-5111 Fax: 989-875-5023 | |
Dr. Russell J Anderson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St, Ithaca, MI 48847 Phone: 989-875-4166 Fax: 989-875-3600 |