Individual
MANUEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNFA, CNOR
Contact information
Practice address
2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 23456-0178
(757) 507-1000
Mailing address
2100 BRECK AVE, VIRGINIA BEACH, VA 23464-1879
(757) 348-0922
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0001189503
VA
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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