Individual
JOSEPH RICHARD WILSON
Active
Individual
JOSEPH RICHARD WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31972
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105813
UCARE
MN
01
—
15-12382
UNITED BEHAVIORAL HEALTH
MN
05
—
230203900
—
MN
01
—
269000247
MEDICARE PTAN
MN
01
—
69221WI
BLUECROSSBLUESHIELD
MN
01
—
HP18408
HEALTH PARTNERS
MN
Enumeration date
08/31/2006
Last updated
02/10/2021
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