Individual provider · Type 1 NPI

Tanya Kezia Danielle Wilson, MD

Family Medicine Physician · Indianapolis, IN

NPI number 1366887564 Active

Practice location

1040 Wishard Blvd
Indianapolis, IN 46202-2872

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X01077438A (IN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1366887564

Tanya Kezia Danielle Wilson, MD's National Provider Identifier is 1366887564, issued on May 2, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 14, 2022.