Individual
DR. TIMOTHY L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
781 BLACK OAK DR #102, MEDFORD, OR 97504-9501
(541) 789-4236
(541) 789-5965
Mailing address
2825 E BARNETT RD, MSS, MEDFORD, OR 97504-8332
(541) 789-4281
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20004
OR
Other
Enumeration date
10/15/2006
Last updated
04/27/2023
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