Provider Demographics
NPI:1801877568
Name:LIN, WEI-SHEN WILSON (MD)
Entity type:Individual
Prefix:DR
First Name:WEI-SHEN
Middle Name:WILSON
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1084
Mailing Address - Country:US
Mailing Address - Phone:267-424-8850
Mailing Address - Fax:215-538-7907
Practice Address - Street 1:1534 PARK AVE
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1084
Practice Address - Country:US
Practice Address - Phone:267-424-8850
Practice Address - Fax:215-538-7907
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD060007L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0697788000OtherINDEPENDENCE BLUE CROSS/K
755642OtherHIGHMARK BLUE SHIELD
50053196OtherCAPITAL BLUE CROSS/KHPC
PA0017948970002Medicaid
PA807849Medicare ID - Type Unspecified
H14075Medicare UPIN