IndividualActive
Brummitte Wilson, M.D.
NPI 1245237288 · MOHS-Micrographic Surgery Physician · Orchard Park, NY
Provider details
- NPI number
- 1245237288
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 134469 (NY)
Practice location
3900 N Buffalo St
Orchard Park, NY 14127-1842
Phone: (716) 656-4494
Fax: (716) 648-1552
Mailing address
425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Registry dates
- Enumerated
- 2005-07-06
- Last updated
- 2024-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.