Individual
ANDREW NATHAN WILNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 545-6969
(901) 545-4748
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(860) 576-9424
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
56460
TN
2084N0400X
Neurology Physician
57359
MA
Other
Enumeration date
05/02/2006
Last updated
01/31/2018
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