person
Richard D. Wilson
Medical Physician Assistant in Danville, Illinois
NPI 1770689036

Richard D. Wilson is a Medical Physician Assistant based in White Heath, IL and is specialized in Medical. Richard D. Wilson practices in Danville, IL. The NPI Number for Richard D. Wilson is 1770689036 and holds a License No. 85-000895 (Illinois).

The current practice location address for Richard D. Wilson is 1900 E Main St, Danville, IL and can be reached out via phone at 217-554-4186.

Location: 1900 E Main St, Danville, IL, 61884-9312
person
Provider Profile Details
NPI Number
1770689036
Provider Name
Richard D. Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1900 E Main St, Danville, IL, 61884-9312
Phone Number
217-554-4186
Fax Number
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1900 E Main St
City
State
Zip
61832-5100
Phone Number
217-554-4186
Fax Number
person
Provider Business Mailing Address Details
Address
1900 E Main St
City
State
Zip
61832-5100
Phone Number
217-554-4186
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
85-000895 (Illinois)
Definition
Definition to come...
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