ELEANOR ANNE WILSON

SPRINGFIELD, VA
NPI1215003546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: VA  0103000949)
Additional Taxonomies213E00000X Podiatrist
(Licence: MD  01174)
Enumeration Date2006-11-28
Last Update Date2022-02-09
Business Address
Dr. ELEANOR ANNE WILSON DPM
6501 LOISDALE COURT
SPRINGFIELD, VA 22150-1885
Phone number: 703-922-1034
Mailing Address
Dr. ELEANOR ANNE WILSON DPM
2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNIT 6 W KAISER PERMANENTE MID ATL PERM MED GRP PC ATTN T.BROOKS
ROCKVILLE, MD 20852-4908
Phone number: 301-816-6660
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