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Individual
THOMAS ALAN WILSON
Active
Individual
THOMAS ALAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
32178
IA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
24639-20
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
32178
IA
Other
Enumeration date
03/30/2006
Last updated
06/06/2014
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