National Provider Identifier
Brummitte Dale Wilson, M.D.
Brummitte Dale Wilson, M.D. is listed in the NPPES registry with a primary specialty of MOHS-Micrographic Surgery Physician in Orchard Park, NY and a listed phone number of (716) 656-4494.
Profile Overview
- NPI
- 1245237288
- Provider Type
- Individual
- Primary Specialty
- MOHS-Micrographic Surgery Physician
- Enumeration Date
- July 06, 2005
- Last Updated
- September 24, 2024
Practice Location
- 3900 N Buffalo St
- Orchard Park, NY 14127-1842
Phone: (716) 656-4494
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- MOHS-Micrographic Surgery Physician (207ND0101X)
- Procedural Dermatology Physician (207NS0135X)
Endpoints
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Buffalo Medical Group, P.C. | Orchard Park, NY 14127
Full Record
- NPI
- 1245237288
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Brummitte
- Middle Name
- Dale
- Credential
- M.D.
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 3900 N Buffalo St
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1842
- Practice Country
- US
- Practice Phone
- (716) 656-4494
- Practice Fax
- (716) 648-1552
- Enumeration Date
- July 06, 2005
- Last Updated
- September 24, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 24, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- MOHS-Micrographic Surgery Physician (207ND0101X), Procedural Dermatology Physician (207NS0135X)