Individual
WILSON SY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 GETTYS ST, GETTYSBURG, PA 17325-2534
(717) 337-4207
(717) 337-4227
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 337-4207
(717) 337-4227
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD061861L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013138710001
—
PA
Enumeration date
01/03/2006
Last updated
05/12/2026
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