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1063491801
MICHAEL W WILSON
OKLAHOMA CITY, OK
NPI
1063491801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 3890)
Enumeration Date
2006-01-11
Last Update Date
2016-01-25
Business Address
-- MICHAEL W WILSON DO
11601 S WESTERN AVE
OKLAHOMA CITY, OK 73170-5823
Phone number: 405-691-5208
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Mailing Address
-- MICHAEL W WILSON DO
2777 NW 222ND ST
EDMOND, OK 73025-9087
Phone number: 405-659-7114
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