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NPI Code Detail

MEDICARE: DR. MEGHAN NATALIE WILSON MD

MEDICARE:  DR. MEGHAN NATALIE 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
2207Y00000XOtolaryngology PhysicianMD455125PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MT205496OTHERPALICENSURE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366684490
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGHAN NATALIE WILSON MD
Provider Business Mailing Address
First Line : 409 S 2ND ST STE 2F
Second Line :
City : HARRISBURG
State : PA
Zip : 17104-1612
Country : US
Telephone Number : 717-231-8923
Fax Number :
Provider Business Practice Location Address
First Line : 508 S WASHINGTON ST
Second Line :
City : GETTYSBURG
State : PA
Zip : 17325-2594
Country : US
Telephone Number : 717-334-8171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2009
Last Update Date : 11/06/2023

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Directions to “ DR. MEGHAN NATALIE WILSON MD” Practice Location

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