NPI 1538162151
John Fraser Wilson, MD
Practice location
- Address
- 8679 Connecticut St STE a, Merrillville, IN 46410-6383
- Phone
- (219) 769-9022
- Fax
- (219) 769-1918
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1538162151
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 May 2005
- Record last updated
- 28 Oct 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.