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Individual

DR. JACOB MICHAEL WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2288
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-5091

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
008704
GA
207X00000X
Orthopaedic Surgery Physician
Primary
65315
TN
207X00000X
Orthopaedic Surgery Physician
68800
MN
207X00000X
Orthopaedic Surgery Physician
76239
WI

Other

Enumeration date
04/01/2016
Last updated
10/13/2022
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