Individual
DR. ROBERT MARSHALL WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 LAKEVIEW AVE, MILFORD, DE 19963-1731
(302) 422-6677
(302) 422-9705
Mailing address
901 LAKEVIEW AVE, MILFORD, DE 19963-1731
(302) 422-6677
(302) 422-9705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0005119
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001177603
—
DE
01
—
C2-0005119
STATE LICENSE #
DE
Enumeration date
12/29/2006
Last updated
03/07/2023
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