Individual
BARCLAY M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
130 S FRONT ST, MILTON, PA 17847-1113
(570) 742-8511
(570) 742-9134
Mailing address
130 S FRONT ST, MILTON, PA 17847-1113
(570) 742-8511
(570) 742-9134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002757L
PA
208D00000X
General Practice Physician
OS002757L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006688790001
—
PA
Enumeration date
04/25/2006
Last updated
05/17/2026
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