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Individual

DR. CHRIS A WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
805 MAIN ST, WINFIELD, KS 67156-2834
(620) 221-4449
(620) 221-4390
Mailing address
805 MAIN ST, WINFIELD, KS 67156-2834
(620) 221-4449
(620) 221-4390

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3546
OK
111N00000X
Chiropractor
Primary
4665
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060451
BLUE CROSS/BLUE SHIELD
01
350050266
RR MEDICARE
Enumeration date
07/29/2005
Last updated
11/28/2011
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