Peter S Wilson MD

NPI 1083602130 - Surgery - 208600000X

NPI Details
NPI 1083602130
Gender Male
Enumeration Date 10/12/2005
Last Updated 05/31/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
4704 WHITESBURG DR S
STE. 200
HUNTSVILLE AL, 35802-1679, US
Phone (256) 880-4510
Fax (256) 880-4512
Business Location
4704 WHITESBURG DR S
STE. 200
HUNTSVILLE AL, 35802-1679, US
Phone (256) 880-4510
Fax (256) 880-4512
Toxanomy
Taxonomy Code 208600000X
License State Alabama
License Number 00015425
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According to our database, Peter S Wilson MD NPI is 1083602130, taxonomy code is 208600000X and license number is 00015425, license state is located at Alabama. Peter S Wilson MD physically located at 4704 Whitesburg Dr S, Huntsville AL, 35802-1679. NPI Number Peter S Wilson MD has the Individual type.

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1083602130 NPI number is provided on an as is basis without warranty of any kind. 1083602130 is maintained by the National Plan & Provider Enumeration System. The contents of Peter S Wilson MD are for informational purposes only.