Individual
DR. JOHN MARSHALL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215
(502) 361-6617
(502) 361-6637
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 361-6617
(502) 361-6637
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47643
KY
207L00000X
Anesthesiology Physician
TP926
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100323720
—
KY
01
—
K153505
MEDICARE PIN
KY
Enumeration date
10/25/2010
Last updated
08/29/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us