Individual
DR. MARK STEPHEN WILSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5591 S LEWIS AVE, TULSA, OK 74105-7132
(918) 488-8285
Mailing address
7908 S FRISCO AVE, TULSA, OK 74132-2813
(918) 935-4590
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24648
OK
207X00000X
Orthopaedic Surgery Physician
TRN10336
FL
Other
Enumeration date
06/18/2007
Last updated
02/10/2021
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