Individual
FRANKLIN DUANE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8040 CLEARVISTA PKWY, SUITE 500, INDIANAPOLIS, IN 46256-5630
(317) 355-8326
(317) 621-4555
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01027587A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000764483
ANTHEM
IN
05
—
100341080A
—
IN
05
—
100407900
—
IN
01
—
P01134241
MEDICARE RAILROAD
IN
Enumeration date
09/13/2005
Last updated
12/16/2015
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