Individual
TIMOTHY J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1132 NATIONAL RD, WHEELING, WV 26003-5940
(304) 242-1032
(304) 242-6341
Mailing address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8663
(304) 234-8960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2098
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2665272
—
OH
05
—
3810005848
—
WV
Enumeration date
06/22/2006
Last updated
04/07/2017
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