Individual
WILSON MCCALL FILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-7243
(757) 668-7811
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7243
(757) 668-7811
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
0101247602
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361619
—
SC
Enumeration date
06/26/2008
Last updated
06/29/2023
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