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WILLIAM E WILSON MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1508857764

Individual Registrant:
 WILLIAM E WILSON MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
315 LANKFORD ST  CLAY CITY, IN 47841-1008 US
Tel: 812-939-2126  Fax: 812-939-3414

Contact information for business:
PO BOX 2505  INDIANAPOLIS, IN 46206-2505 US
Tel: 812-238-7783  Fax: 812-238-4506

Registration Information:
NPI: 1508857764
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IN01043986

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RR MEDICAREP00213807IN01
100369360IN05




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