Individual
ROBERT S WILSON
Active
Individual
ROBERT S WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
OS-004237-L
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS-004237-L
PA
208D00000X
General Practice Physician
OS-004237-L
PA
Other
Enumeration date
12/22/2005
Last updated
09/11/2025
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