Individual
DENISE MARY WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
777 RURAL AVE, WILLIAMSPORT, PA 17701-3109
(570) 321-2000
Mailing address
971 SHOWERS RD, MUNCY, PA 17756-5682
(570) 649-6512
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS005178L
PA
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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