Individual
RYAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC, LEBANON, NH 03756-1000
(603) 650-5748
Mailing address
1 MEDICAL CENTER DR, DHMC, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
042-0014734
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2015
Last updated
07/20/2020
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