Individual
DR. GLENN L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL CENTER DR., SUITE 101, GADSDEN, AL 35903-1130
(256) 492-8590
(256) 492-4498
Mailing address
100 MEDICAL CENTER DR., SUITE 101, GADSDEN, AL 35903-1130
(256) 492-8590
(256) 492-4498
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28405
NC
207X00000X
Orthopaedic Surgery Physician
MD28405
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131368
—
AL
Enumeration date
10/11/2006
Last updated
07/19/2023
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