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DR. HALLIE J WILSON DO
NPI 1003881053
Family Medicine in Ithaca, MI

Active since February 22, 2006
114 N MAIN ST, ITHACA, MI 48847(989) 875-4166(989) 875-3600 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Hallie J Wilson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HALLIE J WILSON DO (NPI 1003881053) is an individual family medicine provider in Ithaca, Michigan, licensed in Michigan (5101011981) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1003881053
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HALLIE J WILSONCredential: DO
Location Address114 N MAIN STIthaca, MI 48847
Mailing AddressPo Box 730, 406 E Elm StCarson City, MI 48811 · (989) 584-3131 · Fax (989) 584-6734
Phone(989) 875-4166
Fax(989) 875-3600
Sole ProprietorNo
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003881053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101011981
Definition
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.
114 N MAIN ST, Ithaca, MI 48847
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Other Identifiers 3

Medicare ID-Type UnspecifiedOE96008020MI
Medicare UPING19732
Medicaid3381288MI

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUAN JOSE MONTOYA NOVOA MD
Family Medicine
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166
PAULA LOU ELLSWORTH NP
Nurse Practitioner (Family)
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166
DR. HILLARY AGNES SHEMES D.O.
Family Medicine
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166
MR. THOMAS J KNIGHT PA C
Physician Assistant
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166
EDWARD LEWIS MD PC
Surgery
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4707
SPARROW CARSON HOSPITAL
Clinic/Center (Rural Health)
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166
DR. DAVID J FREESTONE MD
Family Medicine
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166
DR. RUSSELL J ANDERSON DO
Family Medicine
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hallie Wilson's NPI number?

The NPI number for Hallie Wilson is 1003881053. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Hallie Wilson located?

Hallie Wilson practices at 114 N Main St, Ithaca, MI 48847. The listed phone number is (989) 875-4166.

What is Hallie Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Hallie Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.