| NPI | 1871767475 |
|---|---|
| Doing Business As | MATTHEW WILSON, M.D. |
| Entity Type | Organization |
| Authorized Contact | MATTHEW STEWART WILSON Member 314-251-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2008006048) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |