Male or Other

John D. Wilson MD

Pulmonary Disease Physician in Madison, WI(View on Map)

Full Name

John D Wilson MD

NPI Number

1841246436

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/25/2006

Specialties

(Taxonomies)

Code

207RP1001X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

35936-020

Contact
Information

Purpose

Mailing
Location

Address

700 S PARK ST STE A
700 S PARK ST STE A

City

Madison
Madison

State

WI
WI

Postal Code

53715-1830
53715-1830

Country

US
US

Telephone Number

(608) 260-2900
(608) 260-2900

Identifiers

Identifier

1841246436

Identifier State

WI

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

FHIR
DIRECT

Endpoint

https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
jwilson258869@direct-ehr-ssmhc.com

Endpoint Description

Unknown
Unknown

Use

Other
Direct

Content Type

Other

Other Description:
CCD

Other

Other Description:
jwilson258869@direct-ehr-ssmhc.com

Affiliation

N
N

Endpoint Location

700 S Park St Ste AMadison, WI537151830US
700 S Park St Ste AMadison, WI537151830US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/21/2020

Provider Address

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