| Timothy J. Wilson, D.o, PLLC | |
|
1132 National Rd Wheeling WV 26003-5704 | |
| (304) 242-1032 | |
| Not Available |
| Full Name | Timothy J. Wilson, D.o, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1132 National Rd, Wheeling, West Virginia |
| Authorized Official Name and Position | Timothy J Wilson (PRESIDENT) |
| Authorized Official Contact | 3042421032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J. Wilson, D.o, PLLC 1132 National Rd Wheeling WV 26003-5704 Ph: (304) 242-1032 | Timothy J. Wilson, D.o, PLLC 1132 National Rd Wheeling WV 26003-5704 Ph: (304) 242-1032 |
| NPI Number | 1205871563 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 12/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205871563 | NPI | - | NPPES |
| 2665272 | Medicaid | OH | |
| 3810005848 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2098 (West Virginia) | Primary |
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