Individual
WILLIAM E WILSON
Active
Individual
WILLIAM E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
18102
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
18102
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0253030001
DMERC
—
05
—
T19334
—
SC
Enumeration date
08/03/2006
Last updated
03/12/2020
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