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NPI Code Detail

MEDICARE: JOSEPH H WILSON DPM

MEDICARE:   JOSEPH H WILSON  DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist265917KY
2213ES0103XFoot & Ankle Surgery Podiatrist41000415AIN

General Provider Information

NPI Number : 1679198436
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH H WILSON DPM
Provider Business Mailing Address
First Line : PO BOX 3366
Second Line :
City : EVANSVILLE
State : IN
Zip : 47732-3366
Country : US
Telephone Number : 812-450-6815
Fax Number : 812-450-6822
Provider Business Practice Location Address
First Line : 736 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2938
Country : US
Telephone Number : 270-827-7199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2020
Last Update Date : 06/12/2026

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Directions to “ JOSEPH H WILSON DPM” Practice Location

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