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1205937281
MICHAEL J. WILSON
SPRINGFIELD, IL
NPI
1205937281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-064014)
Enumeration Date
2006-09-25
Last Update Date
2008-10-17
Business Address
-- MICHAEL J. WILSON M.D.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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Mailing Address
-- MICHAEL J. WILSON M.D.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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