Individual
DR. MARK JOSEPH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(504) 702-5700
Mailing address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP09372
LA
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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