| NPI | 1437439684 |
|---|---|
| Other Name | WILSON MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MENOLASCINO Director 307-733-2855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 4440A) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |