Kristan M Wilson, DC

NPI #1992150395 in Webster Groves, Missouri

Provider Information

NPI Number: 1992150395
Entity Type: Individual
Name: Kristan M Wilson, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: May 4, 2016
Last Updated: May 16, 2016

Practice Location

Address: 23 N GORE AVE
Address 2: STE 210
City: Webster Groves
State: Missouri
ZIP Code: 63119-2300
Phone: (314) 961-7605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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