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NPI Code Detail

MEDICARE: JOELLE MARIE WILSON

MEDICARE: JOELLE MARIE WILSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1316899289
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOELLE MARIE WILSON
Provider Business Mailing Address
First Line : 1425 STARR AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43605-2456
Country : US
Telephone Number : 419-693-0631
Fax Number : 419-936-7606
Provider Business Practice Location Address
First Line : 1425 STARR AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43605-2456
Country : US
Telephone Number : 419-693-0631
Fax Number : 419-936-7606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “ JOELLE MARIE WILSON ” Practice Location

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