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1982794293
TIMOTHY L WILSON
MEDFORD, OR
NPI
1982794293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR 20004)
Enumeration Date
2006-10-15
Last Update Date
2023-04-27
Business Address
Dr. TIMOTHY L WILSON md
781 BLACK OAK DR #102
MEDFORD, OR 97504-9501
Phone number: 541-789-4236
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Mailing Address
Dr. TIMOTHY L WILSON md
2825 E BARNETT RD MSS
MEDFORD, OR 97504-8332
Phone number: 541-789-4281
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