Individual
CHRISTOPHER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-4313
Mailing address
PO BOX 33932, SHREVEPORT, LA 71130-3932
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
347166
LA
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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