DR. Charles Stott Wilson, MD

NPI #1164484267 in Jacksonville, Illinois

Provider Information

NPI Number: 1164484267
Entity Type: Individual
Name: DR. Charles Stott Wilson, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: MD
Enumeration Date: Apr 4, 2006
Last Updated: Sep 11, 2008

Practice Location

Address: 814 WEST STATE
City: Jacksonville
State: Illinois
ZIP Code: 62650
Phone: (217) 243-1865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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Organizations

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