Individual
MATTHIAS JOHANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
1001 W 2ND AVE, SPOKANE, WA 99201-4503
(509) 444-8200
(509) 434-0392
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
04/22/2025
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