Individual
SAMUEL EARL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C10007133
DE
207L00000X
Anesthesiology Physician
Primary
MD419897
PA
207LP3000X
Pediatric Anesthesiology Physician
C10007133
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001907364
—
PA
05
—
0019073640011
—
PA
05
—
0053457
—
NJ
05
—
0684511
—
MD
Enumeration date
01/19/2006
Last updated
07/31/2020
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