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NPI Code Detail

MEDICARE: SARA A WILSON

MEDICARE: SARA A 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
1163WW0000XWound Care Registered Nurse4704354481MI

General Provider Information

NPI Number : 1982574588
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA A WILSON
Provider Business Mailing Address
First Line : 750 E MAIN ST
Second Line :
City : HARBOR SPRINGS
State : MI
Zip : 49740-1548
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 750 E MAIN ST
Second Line :
City : HARBOR SPRINGS
State : MI
Zip : 49740-1548
Country : US
Telephone Number : 231-526-4423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2025
Last Update Date : 11/08/2025

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Directions to “ SARA A WILSON ” Practice Location

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