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Joseph George Wilson
Foot & Ankle Surgery Podiatrist in Michigan City, Indiana
NPI 1467972497

Joseph George Wilson is a Foot & Ankle Surgery Podiatrist based in Villa Park, IN and is specialized in Foot & Ankle Surgery. Joseph George Wilson practices in Michigan City, IN. The NPI Number for Joseph George Wilson is 1467972497 and holds a License No. 16.005870 (Indiana).

The current practice location address for Joseph George Wilson is 10176 W 400 N Ste D, Michigan City, IN and can be reached out via phone at 219-214-2047.

Location: 10176 W 400 N Ste D, Michigan City, IN, 60181-5309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467972497
Provider Name
Joseph George Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
10176 W 400 N Ste D, Michigan City, IN, 60181-5309
Phone Number
219-214-2047
Fax Number
Provider Enumeration Date
06/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10176 W 400 N Ste D
City
Michigan City
State
Indiana
Zip
46360-9009
Phone Number
219-214-2047
Fax Number
person
Provider Business Mailing Address Details
Address
10176 W 400 N Ste D
City
Michigan City
State
Indiana
Zip
46360-9009
Phone Number
219-214-2047
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
16.005870 (Illinois)
Definition
Definition to come...
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