Jack Edward Wilson, MD

Surgery Physician · Lemoyne, PA

Individual Active NPI

NPI number 1790756542

Practice location

3 Walnut St Ste 100
Lemoyne, PA 17043
Phone
(717) 761-4141
Fax
(717) 761-1456

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NPI record

NPI
1790756542
Entity type
Individual (Type 1)
Enumeration date
January 30, 2006
Last updated
January 23, 2021
Certified
January 23, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X MD025597E PA

Mailing address

409 S 2ND St
Suite 2f
Harrisburg, PA 17104-1612

About Dr. Wilson

Jack Edward Wilson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 3 Walnut St Ste 100, Lemoyne, PA 17043. The NPI number 1790756542 was assigned on January 30, 2006 and the record was last updated on January 23, 2021.

Dr. Wilson lists a license in the registry: #MD025597E (PA) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Edward Wilson, MD?

The NPI number is 1790756542.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (717) 761-4141.

Where is Dr. Wilson located?

3 Walnut St Ste 100, Lemoyne, PA 17043.

What is the taxonomy code for Dr. Wilson?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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