Individual
DR. RICHARD D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, MHMC-PM&R, CLEVELAND, OH 44109-1900
(216) 778-4414
Mailing address
2500 METROHEALTH DR, MHMC-PM&R, CLEVELAND, OH 44109-1900
(216) 778-4414
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35088089
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2664193
—
OH
Enumeration date
07/19/2006
Last updated
07/20/2007
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