Individual
JOHN A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
859 OLD COUNTY RD, WAITSFIELD, VT 05673-6221
(802) 496-6565
Mailing address
859 OLD COUNTY RD, WAITSFIELD, VT 05673-6221
(802) 496-6565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0013743
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008033190
—
CT
Enumeration date
01/21/2008
Last updated
08/06/2025
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