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Individual

JAMES ALLEN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
525 E MARKET ST, SUITE 1N, AKRON, OH 44304-1619
(330) 375-3588
(330) 375-7615
Mailing address
525 E MARKET ST, SUITE 1N, AKRON, OH 44304-1619
(330) 375-3588
(330) 375-7615

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35060451
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0752595
MEDICARE ID
OH
05
0949853
OH
01
WI 0752592
MEDICARE ID
OH
Enumeration date
12/13/2005
Last updated
11/28/2011
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