Individual
STEPHEN D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7480
(410) 543-7586
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7480
(410) 543-7586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000080
MD
Other
Enumeration date
10/04/2005
Last updated
04/24/2014
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