Jason Andrew Wilson, L.AC. M.S.O.M.

NPI #1861651663 in Dyer, Indiana

Provider Information

NPI Number: 1861651663
Entity Type: Individual
Name: Jason Andrew Wilson, L.AC. M.S.O.M.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: L.AC. M.S.O.M.
Enumeration Date: Jun 5, 2008
Last Updated: Nov 18, 2021

Practice Location

Address: 14785 W 101ST AVE # 101
City: Dyer
State: Indiana
ZIP Code: 46311-3371
Phone: (219) 689-5563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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