Doctor Name: | DELANO DONALD WILSON |
NPI Number: | 1104812882 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35056348 |
Business Practice Address: | 4881 Sugarmaple Dr, Bldg 830, 88th Dts/sgqx Wright Patterson Medical Center Wright Patterson Afb, OH - 454335529 |
Business Phone Number: | 9372579457 |
Business Fax Number: | |
Mailing Address: | 2489 Forest Oaks Dr, BEAVERCREEK |
State: | OH |
Postal Code: | 454318558 |
Phone Number: | 9373062221 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 35056348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |