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Individual

JAMES MATTHEW WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 573-3101
Mailing address
402 MYRTLE AVE, IOWA CITY, IA 52246-2023
(304) 672-2660

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD-50027
IA
207RP1001X
Pulmonary Disease Physician
MD-50027
IA

Other

Enumeration date
03/28/2016
Last updated
10/30/2023
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