Individual
GREGORY CHARLES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219
(513) 584-8900
(513) 584-0459
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
35128918
OH
2086X0206X
Surgical Oncology Physician
MD460397
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
05/03/2010
Last updated
06/19/2019
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