Organization
DANIEL W WILSON M D PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL W WILSON MD (OWNER)
(304) 242-4601
Entity
Organization
Contact information
Practice address
7 E COVE AVE, SUITE B, WHEELING, WV 26003-5024
(304) 242-4601
Mailing address
7 E COVE AVE, SUITE B, WHEELING, WV 26003-5024
(304) 242-4601
(304) 242-3765
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016687290
MOUNTAIN STATE BLUE CROSS
WV
01
—
DA5379
RAILROAD MEDICARE
WV
Enumeration date
05/01/2007
Last updated
01/31/2012
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