Individual
SEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 FAIRVIEW DR, FRANKLIN, VA 23851-1238
(240) 686-2300
Mailing address
12420 MILESTONE CTR DR STE 200, GERMANTOWN, MD 20876-7111
(240) 686-2300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102205635
VA
Other
Enumeration date
06/21/2016
Last updated
07/08/2019
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