| Doctor Name: | MR. WILLIAM J WILSON |
| NPI Number: | 1144469644 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | RN-337750 |
| Business Practice Address: | 2203 Pebble Creek Dr Suite 203 I Twinsburg, OH - 440873023 |
| Business Phone Number: | 2162409058 |
| Business Fax Number: | 3304056959 |
| Mailing Address: | 2203 Pebble Creek Dr, Suite 203 I TWINSBURG |
| State: | OH |
| Postal Code: | 440873023 |
| Phone Number: | 2162409058 |
| Fax Number: | 3304056959 |
| NPI Enumeration Date: | 02/07/2009 |
| NPI Last Update Date: | 02/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0003X |
| License Number: | RN-337750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |