Frederick Mike Wilson, MD

NPI #1609806173 in Fulton, Missouri

Provider Information

NPI Number: 1609806173
Entity Type: Individual
Name: Frederick Mike Wilson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 3, 2006
Last Updated: Feb 10, 2015

Practice Location

Address: 2613 FAIRWAY DR
City: Fulton
State: Missouri
ZIP Code: 65251
Phone: (573) 642-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Internal Medicine	207R00000X	Primary

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