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Individual
SCOTT WILSON
Active
Individual
SCOTT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21493
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00286
BCBS
NE
01
—
01-03335
UHC
NE
01
—
24376
MIDLAND'S CHOICE
NE
05
—
470780857 12
—
NE
Enumeration date
08/03/2006
Last updated
02/26/2008
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