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NPI Code Detail

MEDICARE: HANNAH WILSON MD

MEDICARE: HANNAH WILSON MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics PhysicianMD481606PA

General Provider Information

NPI Number : 1104445824
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH WILSON MD
Provider Business Mailing Address
First Line : 6343 PENN AVE STE 201
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-4011
Country : US
Telephone Number : 412-363-2200
Fax Number : 412-363-2214
Provider Business Practice Location Address
First Line : 6343 PENN AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-4011
Country : US
Telephone Number : 412-363-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2020
Last Update Date : 06/30/2023

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