# JULIE CLARE WILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790807659
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 35095723 | OH | — |
| 2080S0010X | Pediatric Sports Medicine Physician | 0052807 | CO | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 04/12/2021