Individual
JORDAN LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7450 HOSPITAL DR STE 290, DUBLIN, OH 43016-9641
(614) 566-8883
(614) 566-8149
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.150509
OH
208M00000X
Hospitalist Physician
Primary
35.150509
OH
Other
Enumeration date
04/08/2021
Last updated
08/13/2024
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