Individual
SCOTT R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1073 PHEASANT VALLEY ST, IOWA CITY, IA 52246-8622
(319) 936-6896
Mailing address
1073 PHEASANT VALLEY ST, IOWA CITY, IA 52246-8622
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
28853
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19745
WELLMARK BCBS
IA
05
—
2071217
—
IA
Enumeration date
10/07/2005
Last updated
10/09/2025
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