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BONITA WESLEY WILSON M. D.

Allergy and Immunology

Fredericksburg, Virginia

Provider NPI: 1891785127

Provider Information:
 BONITA WESLEY WILSON M. D.


Practice Location:
511 PARK HILL DR  FREDERICKSBURG, VA 22401 US
Tel: 540-371-5660  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
VA0101038231

Other Provider Identifiers:

IssuerNumberStateType
VA PREMIER010061VA01
BLUE CROSS102827VA01
AETNA3389897VA01
CAREFIRSTJ063-0002VA01
CIGNAD17963VA01
UNITED HEALTHCARE02-00285VA01
VA HEALTH NETWORK561249571VA01
MEDICARE PTAN002784A38VA01
AETNA4053750VA01
010026610VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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