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Dr. Edith Diane Wilson, MD
Urology Physician in Olympia, Washington
NPI 1972602969

Edith Diane Wilson is a Urology Physician based in Olympia, WA. Edith Diane Wilson practices in Olympia, WA and has the professional credentials of MD. The NPI Number for Edith Diane Wilson is 1972602969 and holds a License No. 5500A (Washington).

The current practice location address for Edith Diane Wilson is 615 Lilly Rd Ne Ste 175, Olympia, WA and can be reached out via phone at 360-486-6772 and via fax at 360-486-6775. You can also correspond with Edith Diane Wilson through the mailing address at 615 LILLY RD NE STE 175, OLYMPIA, WA - 98506-5179 (mailing address contact number: 360-486-6772).

Location: 615 Lilly Rd Ne Ste 175, Olympia, WA, 98506-5179
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Provider Profile Details
NPI Number
1972602969
Provider Name
Edith Diane Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
615 Lilly Rd Ne Ste 175, Olympia, WA, 98506-5179
Phone Number
360-486-6772
Fax Number
360-486-6775
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110601500 05 WY
W9209 01 CLINIC MCAR #
institution
Provider Business Practice Location Address Details
Address
615 Lilly Rd Ne Ste 175
City
State
Zip
98506-5179
Phone Number
360-486-6772
Fax Number
360-486-6775
person
Provider Business Mailing Address Details
Address
615 Lilly Rd Ne Ste 175
City
State
Zip
98506-5179
Phone Number
360-486-6772
Fax Number
360-486-6775
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
5500A (Wyoming)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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