MS. Maxine E Wilson
NPI #1093141061 in Danbury, Connecticut
Provider Information
- NPI Number
- 1093141061
- Entity Type
- Individual
- Name
- MS. Maxine E Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 22, 2013
- Last Updated
- Sep 22, 2013
Practice Location
- Address
- 15 SCUPPO RD
- Address 2
- UNIT1001
- City
- Danbury
- State
- Connecticut
- ZIP Code
- 06811-5303
- Phone
- (203) 826-7713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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