person
Keith D Wilson JR., MD
General Practice Physician in Reisterstown, Maryland
NPI 1720248198

Keith D Wilson JR. is a General Practice Physician based in Greenbelt, MD. Keith D Wilson JR. practices in Reisterstown, MD and has the professional credentials of MD. The NPI Number for Keith D Wilson JR. is 1720248198 and holds a License No. D71538 (Maryland).

The current practice location address for Keith D Wilson JR. is 11722 Reisterstown Rd, Reisterstown, MD and can be reached out via phone at 410-833-5000 and via fax at 410-833-1433.

Location: 11722 Reisterstown Rd, Reisterstown, MD, 20768-1708
person
Provider Profile Details
NPI Number
1720248198
Provider Name
Keith D Wilson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11722 Reisterstown Rd, Reisterstown, MD, 20768-1708
Phone Number
410-833-5000
Fax Number
410-833-1433
Provider Enumeration Date
06/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11722 Reisterstown Rd
City
State
Zip
21136-3302
Phone Number
410-833-5000
Fax Number
410-833-1433
person
Provider Business Mailing Address Details
Address
11722 Reisterstown Rd
City
State
Zip
21136-3302
Phone Number
410-833-5000
Fax Number
410-833-1433
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
D71538 (Maryland)
Definition
Definition to come...
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