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Individual

TIMOTHY S WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
347 N KUAKINI ST, HONOLULU, HI 96817-2336
(808) 536-2236
(808) 547-9547
Mailing address
347 N KUAKINI ST, HONOLULU, HI 96817-2336
(808) 536-2236
(808) 547-9547

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DOS 1192
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
61186501
HI
Enumeration date
07/11/2006
Last updated
02/24/2021
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