| Doctor Name: | DR. SONJA A. WILSON |
| NPI Number: | 1730388679 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | G64971 |
| Business Practice Address: | 401 E Eager St Baltimore, MD - 212024214 |
| Business Phone Number: | 4102094235 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1514, OWINGS MILLS |
| State: | MD |
| Postal Code: | 211171500 |
| Phone Number: | 4103565681 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2007 |
| NPI Last Update Date: | 10/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G64971 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |