Individual
NED ANDREW WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 SUNNYVIEW LN, KALISPELL, MT 59901-3164
(406) 752-7900
(406) 257-0253
Mailing address
111 SUNNYVIEW LN, KALISPELL, MT 59901-3164
(406) 752-7900
(406) 257-0253
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
7216
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000004061
BLUE CROSS
MT
05
—
0095732
—
MT
Enumeration date
08/31/2006
Last updated
11/27/2023
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