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Organization
KATHLEEN WILSON MD PA
Active
Organization
KATHLEEN WILSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN W WILSON MD (OWNER)
(239) 537-0276
Entity
Organization
Contact information
Practice address
24810 BURNT PINE DR, SUITE 3, BONITA SPRINGS, FL 34134-1973
(239) 495-0439
(239) 495-2688
Mailing address
24600 S TAMIAMI TRL, SUITE 212 BOX# 308, BONITA SPRINGS, FL 34134-7022
(239) 495-0439
(239) 495-2688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
12/20/2010
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