Individual
CHARLEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
202 B 1ST AVE, GLENWOOD, IA 51534
(850) 768-2248
Mailing address
202 B 1ST AVE, GLENWOOD, IA 51534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A191343
IA
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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