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Individual

ANDREAS WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3416 GIBRALTAR HEIGHTS, TOLEDO, OH 43609
(567) 315-2526
Mailing address
1523 NORWOOD AVE, TOLEDO, OH 43607
(419) 376-2643

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
05/24/2016
Last updated
05/24/2016
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