Individual
DAVID B WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1160 VARNUM ST NE, #021, WASHINGTON, DC 20017
(202) 269-7785
(202) 269-7734
Mailing address
1160 VARNUM ST NE, #021, WASHINGTON, DC 20017
(202) 269-7785
(202) 269-7734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD33383
DC
282N00000X
General Acute Care Hospital
MD33383
DC
311500000X
Alzheimer Center (Dementia Center)
MD33383
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018082
—
MD
05
—
033921400
—
DC
Enumeration date
06/01/2006
Last updated
10/17/2014
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