Individual
WILLIAM W WILSON
Active
Individual
WILLIAM W WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01030636A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000641100
ANTHEM
IN
01
—
060070893
RR MEDICARE
IN
05
—
0783915
—
OH
05
—
100085420
—
IN
01
—
P00785636
R.R. MEDICARE
IN
Enumeration date
08/17/2005
Last updated
07/09/2026
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