Individual
FREDERIC BARLOW WILSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 N MAIN ST, COUPEVILLE, WA 98239-9500
(360) 678-4424
(360) 678-5161
Mailing address
80 N MAIN ST, COUPEVILLE, WA 98239-9500
(360) 678-4424
(360) 678-5161
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00030372
WA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD00030372
WA
207XX0801X
Orthopaedic Trauma Physician
MD00030372
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2049935
—
WA
Enumeration date
07/10/2006
Last updated
03/08/2017
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