Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Hallie J Wilson, DO

Individual provider Family Medicine Physician · NPI 1003881053

Dr. Hallie J Wilson, DO is a Family Medicine Physician in Ithaca, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

114 N Main St
Ithaca, MI 48847
Phone: (989) 875-4166
Fax: (989) 875-3600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101011981 (MI)

Record details

NPI number1003881053
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 730, 406 E Elm St, Carson City, MI 48811

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