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William L Wilson, MD
Family Medicine Physician in Beverly, Massachusetts
NPI 1639284300

William L Wilson is a Family Medicine Physician based in Beverly, MA. William L Wilson practices in Beverly, MA and has the professional credentials of MD. The NPI Number for William L Wilson is 1639284300 and holds a License No. 22648 (Massachusetts).

The current practice location address for William L Wilson is 85 Herrick St, Beverly, MA and can be reached out via phone at 978-922-3000 and via fax at 978-921-7048.

Location: 85 Herrick St, Beverly, MA, 01915-1790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639284300
Provider Name
William L Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
85 Herrick St, Beverly, MA, 01915-1790
Phone Number
978-922-3000
Fax Number
978-921-7048
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J47582 01 MA BCBS
55A04WI 01 MN BCBS
110086079A 05 MA
755590300 05 MN
institution
Provider Business Practice Location Address Details
Address
85 Herrick St
City
Beverly
State
Massachusetts
Zip
01915-1790
Phone Number
978-922-3000
Fax Number
978-921-7048
person
Provider Business Mailing Address Details
Address
85 Herrick St
City
Beverly
State
Massachusetts
Zip
01915-1790
Phone Number
978-922-3000
Fax Number
978-921-7048
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
238644 (Massachusetts)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
22648 (Minnesota)
Definition
Definition to come...
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