Individual
NATALIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24700 LORAIN RD STE 207, NORTH OLMSTED, OH 44070-2068
(440) 779-5505
Mailing address
24700 LORAIN RD STE 207, NORTH OLMSTED, OH 44070-2068
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
10/04/2022
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