Individual
ROBERT ANTHONY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 578-8200
Mailing address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.223206
OH
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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