Individual
DR. THERESE M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 IRMC DR STE 130, INDIANA, PA 15701-3674
(724) 471-7100
(724) 471-7111
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9146
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD419534
PA
Other
Enumeration date
01/02/2006
Last updated
03/07/2023
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