JOHN MICHAEL WILSON
Individual Provider (NPI-1)
Active
Neurological Surgery
Provider Information
- NPI Number
1639673924- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 632 DEL PRADO BLVD N, CAPE CORAL, FL, 339092278
- Phone
- (239) 343-3800
- Fax
- (239) 343-4261
Specialties & Taxonomies
General Practice
License: LA #326172
Student in an Organized Health Care Education/Training Program
Neurological Surgery
Primary License: FL #ME173577