Jared Michael Wilson M.D.

NPI 1639461304 - General Practice - 208D00000X

NPI Details
NPI 1639461304
Gender Male
Enumeration Date 05/12/2011
Last Updated 06/12/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
77 NEALY AVE
LANGLEY AFB HOSPITAL - ANESTHESIOLOGY DEPT
LANGLEY AFB VA, 23665-2040, US
Phone (724) 309-5958
Fax
Business Location
77 NEALY AVE
LANGLEY AFB HOSPITAL - ANESTHESIOLOGY DEPT
LANGLEY AFB VA, 23665-2040, US
Phone (724) 309-5958
Fax
Toxanomy
Taxonomy Code 208D00000X
License State North Dakota
License Number 12607
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According to our database, Dr. Jared Michael Wilson M.D. NPI is 1639461304, taxonomy code is 208D00000X and license number is 12607, license state is located at North Dakota. Jared Michael Wilson M.D. physically located at 77 Nealy Ave, Langley Afb VA, 23665-2040. NPI Number Jared Michael Wilson M.D. has the Individual type.

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1639461304 NPI number is provided on an as is basis without warranty of any kind. 1639461304 is maintained by the National Plan & Provider Enumeration System. The contents of Jared Michael Wilson M.D. are for informational purposes only.