| NPI | 1780632711 |
|---|---|
| Professional Name | MICHAEL CRAIG WILSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 0104695) |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: KS 0104695) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-03-23 |