Individual
ANN-KATRIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 SIMMONS DR, TRUSSVILLE, AL 35173-2367
(205) 836-8691
(205) 212-7102
Mailing address
520 SIMMONS DR, TRUSSVILLE, AL 35173-2367
(205) 836-8691
(205) 212-7102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12270
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000097553
—
AL
05
—
169411
—
AL
Enumeration date
10/04/2006
Last updated
12/30/2019
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