Individual
DR. MORGAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-122350
IL
207ND0900X
Dermatopathology Physician
036-122350
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036122350
—
IL
Enumeration date
05/27/2008
Last updated
12/04/2020
Update your record
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