Mr. Ted Lewis Wilson, PHYSICIANSASSISTANT
Mr. Ted Lewis Wilson, PHYSICIANSASSISTANT is a Medical Physician Assistant in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2008.
- Licensed in
- MD
- In the registry since
- 2008
Practice location Address checks out
7210 Windsor Blvd Rutherford Business CtrBaltimore, MD 21244-2633
Phone: (410) 597-7438
Fax: (410) 597-7722
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Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence C00001109 (MD) |
|---|
Record details
| NPI number | 1063685592 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANSASSISTANT |
| Sole proprietor | No |
| NPI enumerated | April 4, 2008 |
| Last updated in NPPES | April 4, 2008 |
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