National Provider Identifier
John Wilson, M.D., M.S.
John Wilson, M.D., M.S. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 276-5181.
Profile Overview
- NPI
- 1659906865
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 08, 2020
- Last Updated
- July 24, 2021
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 276-5181
Mailing Address
- 601 Elmwood Ave Box 629
- Rochester, NY 14642-0001
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1659906865
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- John
- Name Prefix
- Dr.
- Credential
- M.D., M.S.
- Mailing Street Address
- 601 Elmwood Ave Box 629
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 276-5181
- Enumeration Date
- March 08, 2020
- Last Updated
- July 24, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 24, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)