DR. David Russell Wilson, OD

NPI #1407931629 in Carlisle, Pennsylvania

Provider Information

NPI Number: 1407931629
Entity Type: Individual
Name: DR. David Russell Wilson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 650 E HIGH ST
Address 2: STE 652
City: Carlisle
State: Pennsylvania
ZIP Code: 17013
Phone: (717) 258-4422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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