MARTY C WILSON

SPRINGFIELD, IL
NPI1184045338
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  085004959)
Enumeration Date2013-12-13
Last Update Date2020-04-13
Business Address
MARTY C WILSON PA-C
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711-9252
Phone number: 217-547-9100
Mailing Address
MARTY C WILSON PA-C
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711-9252
Phone number: 217-547-9100
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