Individual
SPENCER ALLISON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8424 NAAB RD, SUITE 3J, INDIANAPOLIS, IN 46260-5918
(317) 872-7396
Mailing address
8424 NAAB RD, SUITE 3J, INDIANAPOLIS, IN 46260-5918
(317) 872-7396
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01060883A
IN
Other
Enumeration date
06/01/2008
Last updated
10/03/2012
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