Individual
JOHN STEVEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
765 LIBERTY ST STE 105, MEADVILLE, PA 16335-2567
(814) 373-2310
(814) 373-2313
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD052384L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014676790001
—
PA
01
—
0764259
BS
—
Enumeration date
04/18/2006
Last updated
05/28/2025
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