DR. Jonathan Edward Wilson, D.O.
NPI #1649479916 in Lees Summit, Missouri
Provider Information
- NPI Number
- 1649479916
- Entity Type
- Individual
- Name
- DR. Jonathan Edward Wilson, D.O.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Surgery
- Credential
- D.O.
- Enumeration Date
- Jul 16, 2007
- Last Updated
- Oct 16, 2025
Practice Location
- Address
- 112 NW HACKBERRY ST
- City
- Lees Summit
- State
- Missouri
- ZIP Code
- 64064-1476
- Phone
- (816) 944-8464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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