IndividualActive
Alicia Wilson, D.O.
NPI 1285070284 · Pediatrics Physician · South Bend, IN
Provider details
- NPI number
- 1285070284
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 02004821A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
211 N Eddy St
South Bend, IN 46617-3096
Phone: (574) 233-7337
Fax: (574) 239-1561
Approximate (ZIP-level) locationGet directions
Mailing address
211 N Eddy St
South Bend, IN 46617-3096
Registry dates
- Enumerated
- 2013-05-16
- Last updated
- 2016-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.