Individual
JOHN E. WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
WEST POINT ARMY MEDICAL CTR, 900 WASHINGTON RD, WEST POINT, NY 10996-0001
(845) 938-0749
Mailing address
278A BOWMAN LOOP, WEST POINT, NY 10996-1002
(410) 371-3680
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R145444
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R145444
MD
Other
Enumeration date
11/18/2008
Last updated
04/17/2020
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