| Doctor Name: | JAMES L WILSON |
| NPI Number: | 1831321959 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD028301L |
| Business Practice Address: | 30 Morris Ln Wellsboro, PA - 169011916 |
| Business Phone Number: | 5707244390 |
| Business Fax Number: | |
| Mailing Address: | 30 Morris Ln, WELLSBORO |
| State: | PA |
| Postal Code: | 169011916 |
| Phone Number: | 5707244390 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2009 |
| NPI Last Update Date: | 08/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD028301L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |