Individual
VICTORIA V WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1380 PROGRESS WAY STE 102, ELDERSBURG, MD 21784-6498
(443) 289-3400
(443) 289-3480
Mailing address
1380 PROGRESS WAY STE 102, ELDERSBURG, MD 21784-6498
(443) 289-3400
(443) 289-3480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0067957
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420227900
—
MD
Enumeration date
01/28/2008
Last updated
01/23/2025
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