Individual
DR. CHRISTINE B WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4 NEWTON AVE, NORWICH, NY 13815-1153
(607) 337-4139
Mailing address
PO BOX 211, SO PLYMOUTH, NY 13844-0211
(607) 334-7825
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
177130
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01286891
—
NY
Enumeration date
10/25/2006
Last updated
07/08/2007
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