Individual
JAMES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 SPRING ST, 1ST FLOOR, SCARBOROUGH, ME 04074-8926
(207) 885-0011
(207) 883-2586
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD14297
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009653
—
NH
05
—
301130099
—
ME
Enumeration date
08/07/2006
Last updated
03/06/2012
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