Matthew John Wilson
NPI #1063206944 in Groton, Connecticut
Provider Information
- NPI Number
- 1063206944
- Entity Type
- Individual
- Name
- Matthew John Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Enumeration Date
- Apr 7, 2025
- Last Updated
- Apr 7, 2025
Practice Location
- Address
- 103 CATALPA RD
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-2512
- Phone
- (207) 406-1147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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