Individual
DR. RICKESHA LANEE' WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE # M61, CLEVELAND, OH 44195-0001
(682) 365-1211
Mailing address
526 SUPERIOR AVE E APT 402, CLEVELAND, OH 44114-1421
(682) 365-1211
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.138778
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2012
Last updated
11/27/2023
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