Individual
JOSEPH GEORGE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10176 W 400 N STE D, MICHIGAN CITY, IN 46360-9009
(219) 214-2047
Mailing address
1415 S ARDMORE AVE, SUITE PO BOX 5815, VILLA PARK, IL 60181-5309
(219) 214-2047
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
16.005870
IL
Other
Enumeration date
06/21/2017
Last updated
01/12/2024
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