Search › Pennsylvania › 261Q00000X
Mark Wilson
NPI 1750736088 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5313 Ogden St
Philadelphia, PA 19139 - Phone
- (215) 600-9477
- Fax
- (215) 921-8499
- Organisation at this address
- Mwe Transport Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 261Q00000X
261Q00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-23
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 Pennsylvania