Individual
ANDREW PERRY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
217 W MAPLE AVE, MERIDIAN, ID 83642-2269
(208) 803-7812
Mailing address
217 W MAPLE AVE, MERIDIAN, ID 83642-2269
(208) 803-7812
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
13159
ID
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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