Individual
DR. TED RICHARD WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 HARRISON AVE, PANAMA CITY, FL 32401-2524
(850) 785-3232
(850) 747-8648
Mailing address
740 HARRISON AVE, PANAMA CITY, FL 32401-2524
(850) 785-3232
(850) 747-8648
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME18674
FL
Other
Enumeration date
09/19/2005
Last updated
07/08/2007
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