Keith D Wilson JR., MD

NPI #1720248198 in Reisterstown, Maryland

Provider Information

NPI Number
1720248198
Entity Type
Individual
Name
Keith D Wilson JR., MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
General Practice
Credential
MD
Enumeration Date
Jun 10, 2008
Last Updated
May 31, 2011

Practice Location

Address
11722 REISTERSTOWN RD
ZIP Code
21136-3302
Phone
(410) 833-5000

Specialties & Taxonomy Codes

Specialty
General Practice

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