Jerome Laurence Wilson, PA-C

NPI #1588765010 in Dyer, Indiana

Provider Information

NPI Number
1588765010
Entity Type
Individual
Name
Jerome Laurence Wilson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Sep 26, 2006
Last Updated
Aug 15, 2025

Practice Location

Address
1420 CANTERBURY CT
City
Dyer
State
Indiana
ZIP Code
46311-2046
Phone
(773) 354-8990

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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