Jonathan Edward Wilson D.O.

NPI 1649479916 - Surgery - 208600000X

NPI Details
NPI 1649479916
Gender Male
Enumeration Date 07/16/2007
Last Updated 01/27/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
2750 CLAY EDWARDS DR STE 304
NORTH KANSAS CITY MO, 64116-3256, US
Phone (816) 842-5555
Fax
Business Location
112 NW HACKBERRY ST
LEES SUMMIT MO, 64064-1476, US
Phone
Fax
Toxanomy
Taxonomy Code 208600000X
License State Missouri
License Number 2008006047
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According to our database, Dr. Jonathan Edward Wilson D.O. NPI is 1649479916, taxonomy code is 208600000X and license number is 2008006047, license state is located at Missouri. Jonathan Edward Wilson D.O. physically located at 2750 Clay Edwards Dr Ste 304, North Kansas City MO, 64116-3256. NPI Number Jonathan Edward Wilson D.O. has the Individual type.

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1649479916 NPI number is provided on an as is basis without warranty of any kind. 1649479916 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Edward Wilson D.O. are for informational purposes only.