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Brian Wilson
NPI 1427536580 · on the registry since 2018 · sole proprietor
Practice
- Address
- 5136 Woolverton Ave
Baltimore, MD 21215 - Phone
- (410) 967-6873
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-01
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 Maryland