THEODORE ERNEST WILSON

INDIANAPOLIS, IN
NPI1699035030
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207SG0201X Medical Genetics, Clinical Genetics (M.D.)
(Licence: IN  01079354A)
Additional Taxonomies208000000X Pediatrics
(Licence: MD  P27658)
208000000X Pediatrics
(Licence: IN  01079354A)
Enumeration Date2012-05-18
Last Update Date2025-02-21
Business Address
THEODORE ERNEST WILSON MD
1002 WISHARD BLVD
INDIANAPOLIS, IN 46202-4163
Phone number: 317-944-3966
Mailing Address
THEODORE ERNEST WILSON MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: