Individual
DR. JOHN R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 12TH AVE N, SUITE 140W, BILLINGS, MT 59101-7506
(406) 238-6540
(406) 238-6599
Mailing address
2900 12TH AVE N, SUITE 140W, BILLINGS, MT 59101-7506
(406) 238-6540
(406) 238-6599
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8411
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000091778
BLUECROSS BLUESHIELD
MT
05
—
108160
—
MT
05
—
114452900
—
WY
01
—
200033018
RR MEDICARE
MT
Enumeration date
08/19/2005
Last updated
04/29/2008
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