Individual
DR. BRUCE WILLIAM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
966 BARTLEY ST, JASPER, IN 47546-2641
(812) 996-7810
(812) 996-8465
Mailing address
966 BARTLEY ST, JASPER, IN 47546-2641
(812) 996-7810
(812) 996-8465
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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