Marilyn P Wilson, PAC

NPI #1932179603 in Gray, Louisiana

Provider Information

NPI Number
1932179603
Entity Type
Individual
Name
Marilyn P Wilson, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PAC
Enumeration Date
Jan 25, 2006
Last Updated
Jul 26, 2007

Practice Location

Address
123 FRONTAGE A RD
City
Gray
ZIP Code
70359-6301
Phone
(985) 580-1200

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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