Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRANDON DANIEL WILSON, M.D.
ActiveDR. BRANDON DANIEL WILSON, M.D. is a General Practice healthcare provider located in GLEN DALE, West Virginia. NPI 1003347576 is currently active in the NPPES registry. Verify at CMS.
General Practice · GLEN DALE, WV
Registration Details
- NPI Number
- 1003347576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2017 (9.4001429731228 yrs)
- Last Updated
- Apr 7, 2022
- License
-
29198 (WV)
Practice Information
- Address
-
800 WHEELING AVEGLEN DALE, WV, 260381660Browse WV providers · Browse ZIP 26038
- Phone
- 3048453211
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.