Marty C Wilson, PA-C
NPI #1184045338 in Springfield, Illinois
Provider Information
- NPI Number
- 1184045338
- Entity Type
- Individual
- Name
- Marty C Wilson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Dec 13, 2013
- Last Updated
- Apr 13, 2020
Practice Location
- Address
- 1301 S KOKE MILL RD
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711-9252
- Phone
- (217) 547-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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