# DR. BREEANN N WILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255573887
- **Gender:** F
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | E4817 | CA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 006328-1 | NY | Yes |

## Other

- **Enumeration date:** 03/27/2009
- **Last updated:** 09/18/2024