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Brett Lee Wilson, PA
Surgical Physician Assistant in Liberty, Missouri
NPI 1194726307

Brett Lee Wilson is a Surgical Physician Assistant based in Emporia, MO and is specialized in Surgical. Brett Lee Wilson practices in Liberty, MO and has the professional credentials of PA. The NPI Number for Brett Lee Wilson is 1194726307 and holds a License No. 15-00245 (Missouri).

The current practice location address for Brett Lee Wilson is 2521 Glenn Hendren Dr Ste 204, Liberty, MO and can be reached out via phone at 816-781-6066.

Location: 2521 Glenn Hendren Dr Ste 204, Liberty, MO, 66801-7672
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194726307
Provider Name
Brett Lee Wilson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2521 Glenn Hendren Dr Ste 204, Liberty, MO, 66801-7672
Phone Number
816-781-6066
Fax Number
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970000628 01 KS PALMETTO RR MEDICARE
100002860A 05 KS
50797021 01 MO BCBS
institution
Provider Business Practice Location Address Details
Address
2521 Glenn Hendren Dr Ste 204
City
Liberty
State
Missouri
Zip
64068-3388
Phone Number
816-781-6066
Fax Number
person
Provider Business Mailing Address Details
Address
2521 Glenn Hendren Dr Ste 204
City
Liberty
State
Missouri
Zip
64068-3388
Phone Number
816-781-6066
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
2009014905 (Missouri)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
15-00245 (Kansas)
Definition
Definition to come...
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