Michael Paul Wilson, OTC

NPI #1891201604 in Springfield, Pennsylvania

Provider Information

NPI Number: 1891201604
Entity Type: Individual
Name: Michael Paul Wilson, OTC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Credential: OTC
Enumeration Date: Dec 18, 2017
Last Updated: Dec 18, 2017

Practice Location

Address: 324 GARDEN RD
City: Springfield
State: Pennsylvania
ZIP Code: 19064-3505
Phone: (610) 513-1001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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