Mark Wilson
NPI 1285378976 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5946 Wright Dr
Baton Rouge, LA 70812 - Phone
- (225) 223-5363
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana