Individual
DR. JEFFREY D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-4101
Mailing address
4214 71ST AVENUE CT NW, GIG HARBOR, WA 98335-6517
(206) 715-5569
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD 60220651
WA
Other
Enumeration date
02/20/2007
Last updated
03/09/2012
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