Individual
DR. JAMES R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4151 HOLIDAY ST NW, CANTON, OH 44718-2531
(330) 492-8001
(330) 492-2080
Mailing address
4151 HOLIDAY ST NW, CANTON, OH 44718-2531
(330) 492-8001
(330) 492-2080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35071254
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
34071254
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089341
MCD
OH
Enumeration date
10/04/2005
Last updated
10/01/2012
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