Individual
DR. BREEANN N WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1431 HERTEL AVE, BUFFALO, NY 14216-2871
(716) 897-3720
(716) 897-3918
Mailing address
1431 HERTEL AVE, BUFFALO, NY 14216-2871
(716) 897-3720
(716) 897-3918
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E4817
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006328-1
NY
Other
Enumeration date
03/27/2009
Last updated
09/18/2024
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