Desmonda B. Wixson MD
Internal Medicine Physician in Kalamazoo, MI(View on Map)
Full Name
Desmonda Brady Wixson MD
NPI Number
1013947522
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/03/2006
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
4301072883
Contact
Information
Purpose
Mailing
Location
Address
4613 W MAIN ST STE A
4613 W MAIN ST STE A
City
Kalamazoo
Kalamazoo
State
MI
MI
Postal Code
49006-2698
49006-2698
Country
US
US
Telephone Number
(269) 488-8672
(269) 488-8672
Identifiers
Identifier
4605400
Identifier State
MI
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
direct@direct.bronsonhg.org
Endpoint Description
Bronson Healthcare Group Direct address
Use
Direct
Content Type
Other
Other Description:Continuity of Care Document
Affiliation
Y
Endpoint Location
Bronson Healthcare Group601 John StKalamazoo, MI490075341US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/07/2022
Provider Address
Other Internal Medicine Physicians in Kalamazoo, Michigan:
Mustafa Chokr D.O.
Kalamazoo, MISpecialties: Internal Medicine Physician (Primary)Student in an Organized Health Care Education/Training Program