Individual
BRIAN P. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-8315
Mailing address
515 CANYONWOOD LN, SAN ANTONIO, TX 78227-1114
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
R30516
AK
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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