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Individual

DR. JOELLA E WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 724-6740
(717) 724-6741
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
(717) 724-6740
(717) 724-6741

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD450391
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102915793
PA
Enumeration date
08/11/2009
Last updated
01/23/2021
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