Individual
DAVID JAMES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9900 VALLEY CREEK RD, STE 145, WOODBURY, MN 55125
(651) 734-1123
(651) 734-1109
Mailing address
9900 VALLEY CREEK RD, STE 145, WOODBURY, MN 55125
(651) 734-1123
(651) 734-1109
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4269
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260J9WI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/21/2007
Last updated
07/29/2015
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