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Individual

DR. TIMOTHY ANDREW WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CHILDRENS PL, DEPT EMERGENCY MEDICINE, SAINT LOUIS, MO 63110-1002
(314) 454-6000
(314) 747-3338
Mailing address
1 CHILDRENS PL, MSC 8515-87-1200, SAINT LOUIS, MO 63110-1002
(314) 454-2779
(314) 454-2110

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
2020012908
MO
208000000X
Pediatrics Physician
2020012908
MO

Other

Enumeration date
06/25/2017
Last updated
07/02/2020
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