Individual
DR. SHAWN ANTHONY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5838 HARBOUR VIEW BLVD BLDG STE 100, SUFFOLK, VA 23435-2663
(757) 673-5680
(757) 483-3075
Mailing address
5838 HARBOUR VIEW BLVD BLDG STE 100, SUFFOLK, VA 23435-2663
(757) 673-5680
(757) 483-3075
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0102205257
VA
Other
Enumeration date
05/25/2011
Last updated
09/24/2018
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