Individual
GEORGE M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 W DAKOTA PKWY, WILLISTON, ND 58801-3807
(701) 572-7711
(701) 572-2283
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12421
ND
Other
Enumeration date
08/09/2012
Last updated
09/06/2012
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