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1992786693
MICHAEL D. WILSON
JEFFERSON CITY, MO
NPI
1992786693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO 34558)
Enumeration Date
2005-11-09
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL D. WILSON D.O.
1036 SATINWOOD CT
JEFFERSON CITY, MO 65109-1809
Phone number: 573-893-5119
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Mailing Address
Dr. MICHAEL D. WILSON D.O.
1036 SATINWOOD CT
JEFFERSON CITY, MO 65109-1809
Phone number: 573-893-5119
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