# MAD RIVER HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821973280
- **Authorized official:** DR. JOHN A WILSON MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (802) 595-1430

## Contact information

- **Practice address:** 859 OLD COUNTY RD, WAITSFIELD, VT 05673-6221
- **Practice address phone:** (802) 496-6565
- **Mailing address:** 859 OLD COUNTY RD, WAITSFIELD, VT 05673-6221
- **Mailing address phone:** (802) 496-6565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2025
- **Last updated:** 08/06/2025