Individual
DR. DANIEL R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2695 ROCKY MOUNTAIN AVE, SUITE 200, LOVELAND, CO 80538-8702
(970) 495-8490
(970) 495-8499
Mailing address
2695 ROCKY MOUNTAIN AVE, SUITE 200, LOVELAND, CO 80538-8702
(970) 495-8490
(970) 495-8499
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
47301
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30029244
—
CO
Enumeration date
06/05/2006
Last updated
12/28/2016
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