Individual
NATHAN E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 W COLE RD, BIDDEFORD, ME 04005-9458
(207) 282-3349
(207) 282-6099
Mailing address
1 MEDICAL CENTER DR, SUITE 201, BIDDEFORD, ME 04005-9422
(207) 282-9080
(207) 282-9180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
012099
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017203
ANTHEM
ME
01
—
1042108
AETNA
ME
05
—
277210099
—
ME
01
—
C66193
HARVARD PILGRIM
ME
01
—
M10002801
CIGNA
ME
Enumeration date
04/26/2006
Last updated
09/13/2012
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