Individual
HANNAH ELIZABETH QUALLS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
790 CONCOURSE PKWY S STE 110, MAITLAND, FL 32751-6114
(407) 253-1000
Mailing address
790 CONCOURSE PKWY S STE 110, MAITLAND, FL 32751-6114
(407) 253-1000
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
MD60960564
WA
Other
Enumeration date
04/20/2012
Last updated
07/16/2024
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