Individual
CAROLINE L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2875 W MARKET ST, FAIRLAWN, OH 44333-4064
(330) 864-1916
(330) 864-1924
Mailing address
525 E MARKET ST, PO BOX 2090, AKRON, OH 44304-1619
(330) 996-8603
(330) 996-0359
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35042302
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0516623
—
OH
Enumeration date
06/05/2006
Last updated
04/19/2013
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