Most Relevant Information
Provider Data
NPI Number: | 1003591827 |
Provider Name: | JOHN WILSON MD |
Entity Type: | Individual |
Taxonomy Code: | 207R00000X |
Specialty: | Internal Medicine |
License Number: | 2023021955 |
Most Important Dates
Enumeration Date: | 06/19/2023 |
Last Updated: | 06/19/2023 |
Provider Practice Location
1 BARNES JEW HOSP PLZ
SAINT LOUIS
MO
631101003
Practice Location Phone/Fax
Phone: | 3147473000 |
Fax: |
Provider Mailing Location
660 S EUCLID AVE
SAINT LOUIS
MO
631101010
Provider Mailing Phone/Fax
Phone: | |
Fax: |
Suggested EMR
Internist EMR