David Alan Wilson

NPI #1619220175 in Eagle River, Wisconsin

Provider Information

NPI Number: 1619220175
Entity Type: Individual
Name: David Alan Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 22, 2012
Last Updated: Oct 22, 2012

Practice Location

Address: 925 E WALL ST
City: Eagle River
State: Wisconsin
ZIP Code: 54521-8720
Phone: (715) 479-6413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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