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Individual

SEBASTIAN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
273 MARSHALL ST, COLDWATER, MI 49036-1142
(517) 278-0445
(517) 278-0455
Mailing address
273 MARSHALL ST, COLDWATER, MI 49036-1142
(517) 278-0445
(517) 278-0455

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008079
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4355154
MI
Enumeration date
05/03/2006
Last updated
05/20/2008
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