NPI | 1538187463 |
---|---|
Doing Business As | PAUL WILSON MD |
Entity Type | Organization |
Authorized Contact | JEFFERY KIRKHAM CFO 317-355-5822 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-07-18 |
Last Update Date | 2010-05-05 |