Sheresa Wilson in Coldwater - Physician Assistant
Sheresa Wilson - NPI 1114001237
Sheresa Wilson is a Physician Assistant in Coldwater, Michigan. Sheresa Wilson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sheresa Wilson is 1114001237. The last update date is 2021-12-28.
Sheresa Wilson's current location address is 300 E Chicago St Ste 200, Coldwater, Michigan. You can contact this provider via phone number 5172795378 and fax number 5172795259. The mailing address for Sheresa Wilson is 300 E Chicago St Ste 200, Coldwater, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sheresa Wilson |
|---|---|
| Address | 300 E Chicago St Ste 200, Coldwater, Michigan |
| Phone Number | 5172795378 |
| Fax Number | 5172795259 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1114001237 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2021-12-28 |
Provider Mailing Address Detail
| Address | 300 E Chicago St Ste 200 |
|---|---|
| City | Coldwater |
| State | Michigan (MI) |
| Post Code | 490361688 |
| Phone Number | 5172795378 |
| Fax Number | 5172795259 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601005190 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Post Comment/ Review Below
What is the Sheresa Wilson's 1114001237?
The Sheresa Wilson's NPI (National Provider Identifier) Number is 1114001237. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Sheresa Wilson is physically located?
The Sheresa Wilson is physically situated at the following address: 300 E Chicago St Ste 200, Coldwater, MI, 490361688.
What is the Sheresa Wilson's specialty and taxonomy code?
The Sheresa Wilson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1114001237 assigned to Sheresa Wilson?
The Sheresa Wilson was issued its 1114001237 on 2006-10-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Sheresa Wilson most recently updated or revised?
The details related to Sheresa Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-28.