Healthcare Provider Details

I. General information

NPI: 1891844155
Provider Name (Legal Business Name): AIMEE MICHELLE WILSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AIMEE MICHELLE RYTTING M.D.

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CMR 402 BOX 1164
APO AE
09180-1012
US

IV. Provider business mailing address

DR. HITZELBERGER
LANDSTUHL EUROPE
66849
DE

V. Phone/Fax

Practice location:
  • Phone: 314-590-7963
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number01061040A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: