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Individual
DR. CLARK ALEXANDER WILSON
Active
Individual
DR. CLARK ALEXANDER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35.135944
OH
208800000X
Urology Physician
Primary
Q7812
TX
Other
Enumeration date
09/02/2012
Last updated
08/10/2021
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