person
Mr. Ted Lewis Wilson, PHYSICIANSASSISTANT
Medical Physician Assistant in Baltimore, Maryland
NPI 1063685592

Ted Lewis Wilson is a Medical Physician Assistant based in Baltimore, MD and is specialized in Medical. Ted Lewis Wilson practices in Baltimore, MD and has the professional credentials of PHYSICIANSASSISTANT. The NPI Number for Ted Lewis Wilson is 1063685592 and holds a License No. C00001109 (Maryland).

The current practice location address for Ted Lewis Wilson is 7210 Windsor Blvd, Baltimore, MD and can be reached out via phone at 410-597-7438 and via fax at 410-597-7722.

Location: 7210 Windsor Blvd, Baltimore, MD, 21244-2633
person
Provider Profile Details
NPI Number
1063685592
Provider Name
Ted Lewis Wilson
Credential
PHYSICIANSASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
7210 Windsor Blvd, Baltimore, MD, 21244-2633
Phone Number
410-597-7438
Fax Number
410-597-7722
Provider Enumeration Date
04/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7210 Windsor Blvd
City
State
Zip
21244-2633
Phone Number
410-597-7438
Fax Number
410-597-7722
person
Provider Business Mailing Address Details
Address
7210 Windsor Blvd
City
State
Zip
21244-2633
Phone Number
410-597-7438
Fax Number
410-597-7722
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C00001109 (Maryland)
Definition
Definition to come...
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