Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROGER M WILSON, MD
ActiveDR. ROGER M WILSON, MD is a Addiction Psychiatry healthcare provider located in BANGOR, Maine. NPI 1245325794 is currently active in the NPPES registry. Verify at CMS.
Addiction Psychiatry · BANGOR, ME
Registration Details
- NPI Number
- 1245325794
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.887204744282 yrs)
- Last Updated
- Jul 9, 2019
- Licenses
-
MD7254 (ME)007254 (ME)
Practice Information
- Address
-
DOROTHEA DIX AGENCYBANGOR, ME, 04401Browse ME providers · Browse ZIP 04401
- Phone
- 2079440733
- Fax
- 2072883151
- Primary Specialty
-
Addiction Psychiatry
2084A0401X
- Additional Specialty
- Addiction Psychiatry
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.