Individual
JOHN MARTIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(801) 636-5852
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-1803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101283267
VA
208D00000X
General Practice Physician
Primary
0101283267
VA
Other
Enumeration date
02/28/2023
Last updated
06/30/2026
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