Organization
WILSONMEDICALASSOCIATESLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVERETT JAN WILSON D.O. (PHYSICIAN)
(740) 574-2220
Entity
Organization
Contact information
Practice address
1661 STATE ROUTE 522, UNIT #2, WHEELERSBURG, OH 45694-8120
(740) 574-2220
(740) 574-2215
Mailing address
1661 STATE ROUTE 522, UNIT #2, WHEELERSBURG, OH 45694-8120
(740) 574-2220
(740) 574-2215
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
34-002236
OH
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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