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Contact Information

FREDERIC B WILSON I, MD
80 N MAIN ST
COUPEVILLE, WA98239-9500
 Phone: 360-678-4424
 Fax: 360-678-5161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FREDERIC B WILSON I · (Male)

NPI # 1164456471
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 03/08/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00030372
  • WA Medicaid 2049935
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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