person
Marty C Wilson, PA-C
Surgical Physician Assistant in Springfield, Illinois
NPI 1184045338

Marty C Wilson is a Surgical Physician Assistant based in Springfield, IL and is specialized in Surgical. Marty C Wilson practices in Springfield, IL and has the professional credentials of PA-C. The NPI Number for Marty C Wilson is 1184045338 and holds a License No. 085004959 (Illinois).

The current practice location address for Marty C Wilson is 1301 S Koke Mill Rd, Springfield, IL and can be reached out via phone at 217-547-9100 and via fax at 217-547-9236.

Location: 1301 S Koke Mill Rd, Springfield, IL, 62711-9252
person
Provider Profile Details
NPI Number
1184045338
Provider Name
Marty C Wilson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1301 S Koke Mill Rd, Springfield, IL, 62711-9252
Phone Number
217-547-9100
Fax Number
217-547-9236
Provider Enumeration Date
12/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1301 S Koke Mill Rd
City
State
Zip
62711-9252
Phone Number
217-547-9100
Fax Number
217-547-9236
person
Provider Business Mailing Address Details
Address
1301 S Koke Mill Rd
City
State
Zip
62711-9252
Phone Number
217-547-9100
Fax Number
217-547-9236
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
085004959 (Illinois)
Definition
Definition to come...
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