Individual
DR. BRIAN G. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 W GERMANTOWN PIKE, SUITE 2, EAST NORRITON, PA 19401-1382
(610) 278-7456
(610) 278-7457
Mailing address
87 LONGLEAF CT, COLLEGEVILLE, PA 19426-2885
(610) 489-6019
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD067812L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19007660001
—
PA
Enumeration date
07/28/2006
Last updated
02/10/2015
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