Jacqueline S. Wilson, M.d., P.c.

NPI #1194822049 in Bozeman, Montana

Provider Information

NPI Number
1194822049
Entity Type
Organization
Organization Name
Jacqueline S. Wilson, M.d., P.c.
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Sep 20, 2006
Last Updated
Mar 17, 2008

Practice Location

Address
321 E MAIN ST
Address 2
SUITE 309
State
Montana
ZIP Code
59715-6241
Phone
(406) 586-7515

Authorized Official

Name
JACQUELINE S. WILSON, M.D.
Title
PRESIDENT
Phone
(406) 586-7515

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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