Doctor Name: | DR. DAVID WHITING WILSON |
NPI Number: | 1841396587 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 78203 |
Business Practice Address: | 249 Adams Rd Williamstown, MA - 012672932 |
Business Phone Number: | 4134583397 |
Business Fax Number: | 4134584255 |
Mailing Address: | 425 Summer St, LANESBORO |
State: | MA |
Postal Code: | 012379526 |
Phone Number: | 4134436142 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 78203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |