Individual
JOSHUA MICHAEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST MAIN HOSPITAL, SEATTLE, WA 98195-2234
(206) 598-3300
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(864) 404-5239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
303164
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
61293903
WA
225200000X
Physical Therapy Assistant
2860
SC
Other
Enumeration date
12/15/2012
Last updated
02/08/2024
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