Individual
BRIAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4054 SAWYER RD, SARASOTA, FL 34233-1272
(941) 552-1189
(941) 365-8635
Mailing address
4054 SAWYER RD, SARASOTA, FL 34233-1272
(941) 552-1189
(941) 365-8635
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8045
FL
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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