MR. Mark Wilson is a clinic center in Philadelphia, PA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MR. Mark Wilson NPI is 1750736088. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5313 OGDEN ST
PHILADELPHIA, PA
ZIP 19139-438
Phone: (215) 600-9477
Fax: (215) 921-8499
The enumeration date for this NPI number is 4/23/2016 and was last updated on 4/23/2016.