DR. Jonathan B Wilson, DPM

NPI #1205197878 in Grand Island, Nebraska

Provider Information

NPI Number: 1205197878
Entity Type: Individual
Name: DR. Jonathan B Wilson, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: May 31, 2012
Last Updated: Jul 18, 2012

Practice Location

Address: 620 N DIERS AVE STE 100
City: Grand Island
State: Nebraska
ZIP Code: 68803-4985
Phone: (308) 381-0404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Organizations

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