Ethan B. Wilson, M.D.

NPI #1447364104 in Corvallis, Oregon

Provider Information

NPI Number
1447364104
Entity Type
Individual
Name
Ethan B. Wilson, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Emergency Medicine
Credential
M.D.
Enumeration Date
Aug 19, 2006
Last Updated
Nov 12, 2007

Practice Location

Address
3600 NW SAMARITAN DR
State
Oregon
ZIP Code
97330-3737
Phone
(541) 768-5021

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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