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Individual
DR. MATTHEW FRANCIS WILSON
Active
Individual
DR. MATTHEW FRANCIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS014932
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS014932
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102727766
—
PA
05
—
1027277660001
—
PA
01
—
OSO14932
LICENSE
PA
Enumeration date
06/24/2008
Last updated
03/07/2023
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