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DR. JAMES HOWARD WILSON MD
>> Orthopaedic Surgery >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1750579702
Individual Registrant:DR. JAMES HOWARD WILSON MD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
9291 IL HIGHWAY 40 BUDA, IL 61314-9451 US
Tel: 309-895-1052 Fax: 309-895-1052
Tel: 309-895-1052 Fax: 309-895-1052
Contact information for business:
9291 IL HIGHWAY 40 BUDA, IL 61314-9451 US
Tel: 309-895-1052 Fax: 309-895-1052
Tel: 309-895-1052 Fax: 309-895-1052
Registration Information:
NPI: 1750579702
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207X00000X | Allopathic & Osteopathic Physicians Orthopaedic Surgery | IL | 03643800 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
