John Allen Wilson Jr., M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Walker, MN
NPI 1194019729 · NPPES record last updated May 31, 2011
Key facts
- NPI
- 1194019729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 15004 (MN)
- Practice address
- 7327 Rogers Point Rd NW
Walker, MN 56484-2523 - Phone
- (218) 836-2310
- NPI assigned
- May 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 15004 | MN | Yes |
Addresses
Primary practice location
7327 Rogers Point Rd NW
Walker, MN 56484-2523
Mailing address
7327 Rogers Point Rd NW
Walker, MN 56484-2523
Phone (218) 836-2310
Other providers in Walker, MN
- Walker Wellness Chiropractic
- Walker Wellness Chiropractic Center, PA
- Walker-Hackensack-Akeley Isd #113
- Teresa Marie Watson
- Jill Marie Welk
- Logan Garret Ziegler
All providers in Walker, MN · Orthopaedic Surgery Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.