DR. Ted Richard Wilson, M.D.
NPI #1588659262 in Panama City, Florida
Provider Information
- NPI Number
- 1588659262
- Entity Type
- Individual
- Name
- DR. Ted Richard Wilson, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Surgery
- Credential
- M.D.
- Enumeration Date
- Sep 19, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 740 HARRISON AVE
- City
- Panama City
- State
- Florida
- ZIP Code
- 32401-2524
- Phone
- (850) 785-3232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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