R.l. Wilson, MD, PC
R.l. Wilson, MD, PC is a Clinical Social Worker in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
828 E Colfax AveSouth Bend, IN 46617-2804
Phone: (574) 233-5858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 50003038A (IN) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X |
Record details
| NPI number | 1962623249 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rickey Wilson — President · (574) 233-5858 |
| NPI enumerated | May 2, 2007 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 828 E Colfax Ave, South Bend, IN 46617-2804 |
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