DR. Mark Joseph Wilson, O.D.

NPI #1407883895 in Brandon, Florida

Provider Information

NPI Number: 1407883895
Entity Type: Individual
Name: DR. Mark Joseph Wilson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 28, 2006
Last Updated: Apr 15, 2013

Practice Location

Address: 655 BRANDON TOWN CENTER MALL
City: Brandon
State: Florida
ZIP Code: 33511-4770
Phone: (813) 681-1036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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