Individual
BRIAN PATRICK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1823 HIGHWAY BLVD, SUITE 5, SPENCER, IA 51301-2226
(712) 262-6320
(712) 264-3007
Mailing address
1823 HIGHWAY BLVD, SUITE 5, SPENCER, IA 51301-2226
(712) 262-6320
(712) 264-3007
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
03049
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250886
—
IA
Enumeration date
01/12/2006
Last updated
06/19/2009
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