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Individual
C WILSON WESBROOK
Active
Individual
C WILSON WESBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
16239
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018804
BCBS
KS
01
—
1001
PHS
KS
01
—
12149416
MULTIPLAN
KS
01
—
16930
COVENTRY
KS
01
—
200162
HPK
KS
Enumeration date
08/06/2006
Last updated
07/16/2007
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