Individual
DIANA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401
(802) 847-5338
(207) 795-5645
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
016172
ME
207RP1001X
Pulmonary Disease Physician
Primary
042.0014136
VT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
309095
NY
Other
Enumeration date
09/14/2006
Last updated
03/27/2026
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