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1740228329
ROBERT MICHAEL WILSON
SALEM, VA
NPI
1740228329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110001209)
Enumeration Date
2006-06-03
Last Update Date
2022-01-26
Business Address
-- ROBERT MICHAEL WILSON PAC
101 KNOTBREAK RD
SALEM, VA 24153-5404
Phone number: 540-444-4020
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Mailing Address
-- ROBERT MICHAEL WILSON PAC
PO BOX 8310
ROANOKE, VA 24014-0310
Phone number: 540-345-3556
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