Individual
JONATHAN K WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000 MEDICAL PKWY STE 101, ANNAPOLIS, MD 21401-3743
(410) 268-0380
Mailing address
2000 MEDICAL PKWY STE 101, ANNAPOLIS, MD 21401-3743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
11/05/2019
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