Wendall A Wilson M.D.

NPI 1588690804 - Internal Medicine - 207R00000X

NPI Details
NPI 1588690804
Gender Male
Enumeration Date 06/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1501 KINGS HWY
DEPARTMENT OF INTERNAL MEDICINE, RHEUMATOLOGY SECTION
SHREVEPORT LA, 71103-4228, US
Phone (318) 675-7737
Fax (318) 675-5666
Business Location
1501 KINGS HWY
DEPARTMENT OF INTERNAL MEDICINE, RHEUMATOLOGY SECTION
SHREVEPORT LA, 71103-4228, US
Phone (318) 675-7737
Fax (318) 675-5666
Toxanomy
Taxonomy Code 207R00000X
License State Louisiana
License Number 04794R
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According to our database, Dr. Wendall A Wilson M.D. NPI is 1588690804, taxonomy code is 207R00000X and license number is 04794R, license state is located at Louisiana. Wendall A Wilson M.D. physically located at 1501 Kings Hwy, Shreveport LA, 71103-4228. NPI Number Wendall A Wilson M.D. has the Individual type.

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1588690804 NPI number is provided on an as is basis without warranty of any kind. 1588690804 is maintained by the National Plan & Provider Enumeration System. The contents of Wendall A Wilson M.D. are for informational purposes only.