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Individual
MR. WILLIAM ROBERT WILSON JR.
Active
Individual
MR. WILLIAM ROBERT WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
E4575
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
14182
NH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.061928
OH
Other
Enumeration date
02/08/2006
Last updated
02/01/2022
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