Individual
TODD PATRICK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1480 SEWARD AVE, SITKA, AK 99835-9454
(907) 966-5430
Mailing address
1480 SEWARD AVE, SITKA, AK 99835-9454
(907) 966-5473
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
08/25/2022
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