Individual
MR. DANIEL WAYNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 MOUNT WOOD RD, WHEELING, WV 26003-2632
(304) 233-2455
(304) 233-6073
Mailing address
7 E COVE AVE, SUITE B, WHEELING, WV 26003-5024
(304) 242-4601
(304) 242-3765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13956
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051833000
—
WV
05
—
0633201
—
OH
Enumeration date
09/27/2006
Last updated
02/05/2015
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