Individual
DR. ROBERT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 459-9300
(814) 454-7780
Mailing address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 456-9300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
G179480
CA
2084P0800X
Psychiatry Physician
MD052629L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
G179480
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD052629L
PA
Other
Enumeration date
01/30/2006
Last updated
07/07/2022
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