Individual
CAROLYN ALICE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
304 HANCOCK ST, BANGOR VA CLINIC, BANGOR, ME 04401
(207) 561-3600
(207) 947-1862
Mailing address
304 HANCOCK ST, BANGOR VA CLINIC, BANGOR, ME 04401
(207) 561-3600
(207) 947-1862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
016114
ME
207R00000X
Internal Medicine Physician
120975
NC
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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