Jason Wilson, MD

NPI #1275631012 in Weston, Wisconsin

Provider Information

NPI Number: 1275631012
Entity Type: Individual
Name: Jason Wilson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: MD
Enumeration Date: Sep 20, 2006
Last Updated: Feb 10, 2012

Practice Location

Address: 3501 CRANBERRY BLVD
City: Weston
State: Wisconsin
ZIP Code: 54476-5213
Phone: (715) 393-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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