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Individual

DR. GREGORY D WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
633 W MAIN ST STE 1, MOUNT PLEASANT, PA 15666-1846
(724) 542-8864
(724) 542-8086
Mailing address
633 W MAIN ST STE 1, MOUNT PLEASANT, PA 15666-1846
(724) 542-8864
(724) 542-8086

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008014L
PA
111NS0005X
Sports Physician Chiropractor
DC008014L
PA

Other

Enumeration date
04/01/2006
Last updated
08/19/2020
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