Individual
DR. JOSHUA BRYCE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6000 UNIVERSITY AVE STE 450, WEST DES MOINES, IA 50266-8229
(515) 241-2000
(515) 241-2005
Mailing address
12402 LINCOLN AVE, CLIVE, IA 50325-8138
(515) 360-0062
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
37211
IA
207ND0101X
MOHS-Micrographic Surgery Physician
37211
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447373832
BLUE CROSS BLUE SHIELD
IA
Enumeration date
04/09/2007
Last updated
04/15/2025
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