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DR. JAMES HOWARD WILSON MD

>> Orthopaedic Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1750579702

Individual Registrant:
DR. JAMES HOWARD WILSON MD
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

Contact information for business:
9291 IL HIGHWAY 40  BUDA, IL 61314-9451 US
Tel: 309-895-1052  Fax: 309-895-1052

Registration Information:
NPI: 1750579702
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207X00000XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
IL03643800

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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