Bradford Marvin Wilson, PA

NPI #1396233557 in Duluth, Minnesota

Provider Information

NPI Number: 1396233557
Entity Type: Individual
Name: Bradford Marvin Wilson, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Apr 24, 2018
Last Updated: Apr 24, 2018

Practice Location

Address: 407 E 3RD ST
City: Duluth
State: Minnesota
ZIP Code: 55805-1950
Phone: (218) 786-8364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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