Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK EDWARD WILSON, MD
ActiveDR. JACK EDWARD WILSON, MD is a General Surgery healthcare provider located in LEMOYNE, Pennsylvania. NPI 1790756542 is currently active in the NPPES registry. Verify at CMS.
General Surgery · LEMOYNE, PA
Registration Details
- NPI Number
- 1790756542
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2006 (20.354524367465 yrs)
- Last Updated
- Jan 23, 2021
- License
-
MD025597E (PA)
Practice Information
- Address
-
3 WALNUT ST STE 100LEMOYNE, PA, 17043Browse PA providers · Browse ZIP 17043
- Phone
- 7177614141
- Fax
- 7177611456
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in LEMOYNE, PA
| Name | Credential | NPI |
|---|---|---|
| DR. RONALD G BARSANTI | MD | 1265491682 |
| DR. ANASTASIUS O PETER | MD | 1558320978 |
| ARTHUR DAVID FROEHLICH | MD | 1811956121 |
| DEBORAH WEISBESKI SIMS | MD | 1033179932 |
| DR. MICHAEL JEROME PAGE | MD | 1346200318 |
| DR. WILLIAM MICHAEL PERRI | D.O. | 1669418836 |
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.