Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK DOUGLAS WILSON, M.D.
ActiveMARK DOUGLAS WILSON, M.D. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in MINDEN, Louisiana. NPI 1235399163 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · MINDEN, LA
Registration Details
- NPI Number
- 1235399163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2008 (18.202423721127 yrs)
- Last Updated
- Jul 29, 2015
- License
-
MD.204547 (LA)
Practice Information
- Address
-
216 W UNION STSTE. AMINDEN, LA, 710553216Browse LA providers · Browse ZIP 71055
- Phone
- 3182996334
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
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.