Individual
DR. CASEY LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
JHH 1830 E MONUMENT ST, 6-100, BALTIMORE, MD 21287-0001
(410) 955-3380
(410) 502-5146
Mailing address
1800 ORLEANS ST, ZAYED TOWER, ROOM G1095, BALTIMORE, MD 21287-0010
(410) 502-5347
(410) 955-0141
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0079067
MD
Other
Enumeration date
03/28/2012
Last updated
03/27/2017
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