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Dr. Brandon Daniel Wilson, MD
General Practice Physician in Glen Dale, West Virginia
NPI 1003347576

Brandon Daniel Wilson is a General Practice Physician based in Morgantown, WV. Brandon Daniel Wilson practices in Glen Dale, WV and has the professional credentials of MD. The NPI Number for Brandon Daniel Wilson is 1003347576 and holds a License No. (West Virginia).

The current practice location address for Brandon Daniel Wilson is 800 Wheeling Ave, Glen Dale, WV and can be reached out via phone at 304-845-3211.

Location: 800 Wheeling Ave, Glen Dale, WV, 26505-1078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003347576
Provider Name
Brandon Daniel Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 Wheeling Ave, Glen Dale, WV, 26505-1078
Phone Number
304-845-3211
Fax Number
Provider Enumeration Date
03/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 Wheeling Ave
City
Glen Dale
State
West Virginia
Zip
26038-1660
Phone Number
304-845-3211
Fax Number
person
Provider Business Mailing Address Details
Address
800 Wheeling Ave
City
Glen Dale
State
West Virginia
Zip
26038-1660
Phone Number
304-845-3211
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
29198 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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