Individual
DR. GENE O'NEIL WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1349 WESTEN ST, BOWLING GREEN, KY 42104-3364
(270) 725-0779
Mailing address
1349 WESTEN ST, BOWLING GREEN, KY 42104-3364
(270) 725-0779
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
26308
KY
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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