Individual
GREGORY TODD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
140 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 291-0700
(717) 207-8626
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS-013977
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102143480
—
PA
Enumeration date
01/29/2008
Last updated
02/04/2025
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