Individual
DR. MARK C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CHILDREN'S HOSPITAL - RESPIRATORY MEDICINE & ALLERGY, 8200 DODGE STREET, OMAHA, NE 68114-4113
(402) 955-5570
(402) 955-5575
Mailing address
CHILDREN'S HOSPITAL, 8200 DODGE STREET, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
17658
NE
2080P0214X
Pediatric Pulmonology Physician
17658
NE
2080S0012X
Pediatric Sleep Medicine Physician
Primary
17658
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1926246
—
IA
01
—
31219
BCBS
NE
01
—
662
MIDLANDS CHOICE
—
05
—
7781510
—
SD
01
—
94533
BCBS
IA
Enumeration date
05/16/2006
Last updated
09/11/2025
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