Whalio Doctors

NPI 1538162151

John Fraser Wilson, MD

Practitioner Specialist Merrillville, IN

Practice location

Address
8679 Connecticut St STE a, Merrillville, IN 46410-6383
Phone
(219) 769-9022
Fax
(219) 769-1918

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 01049994A (IN)

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.