Individual
DR. EVERETT JAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5900 N MAIN ST, DAYTON, OH 45415-3150
(937) 277-9371
(937) 277-7734
Mailing address
5900 N MAIN ST, DAYTON, OH 45415-3150
(937) 277-9371
(937) 277-7734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-002236
OH
207W00000X
Ophthalmology Physician
34-002236
OH
Other
Enumeration date
11/06/2006
Last updated
05/17/2026
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