Dr. Grace Wilcox, DO
Surgery, Surgical Critical Care in Manchester, NH. Individual provider (NPI-1).
NPI number1669979969
StatusActive
Last updated in NPPESOct 22, 2024
Details
- NPI
- 1669979969
- Entity type
- Individual (NPI-1)
- Name
- Dr. Grace Wilcox
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2018
- Certification date
- Oct 22, 2024
- Last updated
- Oct 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0102X | Surgery, Surgical Critical Care | 33393 | NH | Yes |
| 208600000X | Surgery | 33393 | NH | |
| 2086S0127X | Surgery, Trauma Surgery | 33393 | NH |
Practice location
4 Elliot Way Ste 201Manchester, NH 03103-3553
Phone 603-663-2456 · Fax 603-663-2888
Mailing address
4 Elliot Way Ste 201Manchester, NH 03103-3553
Phone 603-663-3838
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