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NPI Code Detail

MEDICARE: WILLIAM THOMAS WILSON

MEDICARE:   WILLIAM THOMAS WILSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376J00000XHomemaker

General Provider Information

NPI Number : 1427650084
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM THOMAS WILSON
Provider Business Mailing Address
First Line : 1715 GILBERT RD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-4010
Country : US
Telephone Number : 567-395-0346
Fax Number :
Provider Business Practice Location Address
First Line : 1715 GILBERT RD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-4010
Country : US
Telephone Number : 567-395-0346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2020
Last Update Date : 11/09/2020

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Directions to “ WILLIAM THOMAS WILSON ” Practice Location

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