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NPI Code Detail

MEDICARE: DEBORAH WILSON M.D.

MEDICARE: DEBORAH WILSON M.D.
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
1207Q00000XFamily Medicine Physician35072025OH

General Provider Information

NPI Number : 1235218637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH WILSON M.D.
Provider Business Mailing Address
First Line : 2260 MORSE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-5858
Country : US
Telephone Number : 614-702-7899
Fax Number :
Provider Business Practice Location Address
First Line : 2260 MORSE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-5858
Country : US
Telephone Number : 614-702-7899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2006
Last Update Date : 01/05/2023

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