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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN B WILSON, DPM

Active

DR. JONATHAN B WILSON, DPM is a Podiatrist healthcare provider located in GRAND ISLAND, Nebraska. NPI 1205197878 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · GRAND ISLAND, NE

Registration Details

NPI Number
1205197878
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2012 (14.018075064013 yrs)
Last Updated
Jul 18, 2012
License
334 (NE)

Practice Information

Address
620 N DIERS AVE STE 100
GRAND ISLAND, NE, 688034985
Browse NE providers · Browse ZIP 68803
Phone
3083810404
Primary Specialty
Podiatrist
213E00000X

Other Podiatrist Providers in GRAND ISLAND, NE

Name Credential NPI
DR. COREY S. BLACKBURN D.P.M. 1528350485
DR. DUSTY LYNN BROXTERMAN DPM 1376126250
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.