Individual
DR. ANNE S WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15200 SHADY GROVE RD, SUITE 306, ROCKVILLE, MD 20850-4608
(301) 330-8011
(301) 330-8014
Mailing address
15200 SHADY GROVE RD, SUITE 306, ROCKVILLE, MD 20850-3218
(301) 330-8011
(301) 330-8014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0053365
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415096100
—
MD
05
—
851000800
—
MD
Enumeration date
02/20/2007
Last updated
05/21/2015
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