MICHAEL BRUCE WILSON

FULTON, MO
NPI1336150754
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  014306)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
-- MICHAEL BRUCE WILSON DDS
600 E 5TH STREET FULTON STATE HOSPITAL
FULTON, MO 65251
Phone number: 573-592-4100
Mailing Address
-- MICHAEL BRUCE WILSON DDS
600 E 5TH ST
FULTON, MO 65251-1753
Phone number: 573-592-4100
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