Individual
DR. JOEL M WILNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
665 HARKLE RD, SANTA FE, NM 87505-4751
(505) 983-7393
(505) 983-7249
Mailing address
665 HARKLE RD, SANTA FE, NM 87505-4751
(505) 983-7393
(505) 983-7249
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
178
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54346
—
NM
01
—
826480034
RAILROAD MEDICARE
—
05
—
97553824
—
NM
Enumeration date
02/13/2006
Last updated
03/02/2009
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