Individual
DR. SALLIE A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 293-8228
(937) 293-8229
Mailing address
3533 SOUTHERN BLVD, SUITE 3400, KETTERING, OH 45429-1264
(937) 293-8228
(937) 293-8229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34003530
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0881470
—
OH
Enumeration date
01/20/2006
Last updated
05/07/2014
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