Individual
BRENDAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3876
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3356
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.010066RX
OH
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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