Individual
DR. NICKOLAS S WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
3940 W 96TH ST, INDIANAPOLIS, IN 46268-2922
(317) 749-0677
(317) 735-8753
Mailing address
2456 LAKE CIRCLE DR, INDIANAPOLIS, IN 46268-4219
(317) 626-2700
(317) 844-8130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002708A
IN
Other
Enumeration date
04/16/2013
Last updated
12/18/2024
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