Most Relevant Information
Provider Data
| NPI Number: | 1003803057 |
| Provider Name: | JOHN EVERETT WILSON D..O |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | H0045242 |
Most Important Dates
| Enumeration Date: | 10/04/2005 |
| Last Updated: | 08/26/2013 |
Provider Practice Location
4 C NORTH AVE
SUITE 425
BEL AIR
MD
210142307
Practice Location Phone/Fax
| Phone: | 4108388991 |
| Fax: | 4108380727 |
Provider Mailing Location
4 C NORTH AVE
SUITE 425
BEL AIR
MD
210142307
Provider Mailing Phone/Fax
| Phone: | 4108388991 |
| Fax: | 4108380727 |