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NPI Code Detail

MEDICARE: ADAM WILSON MD

MEDICARE: ADAM WILSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1063231454
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM WILSON MD
Provider Business Mailing Address
First Line : 651 E PRESCOTT RD
Second Line :
City : SALINA
State : KS
Zip : 67401-7408
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 651 E PRESCOTT RD
Second Line :
City : SALINA
State : KS
Zip : 67401-7408
Country : US
Telephone Number : 785-825-7251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2024
Last Update Date : 05/03/2026

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Directions to “ ADAM WILSON MD” Practice Location

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