Individual
DR. MICHAL RICHARD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1898 FORT RD, MENTAL HEALTH (116), SHERIDAN, WY 82801-8320
(307) 672-3473
Mailing address
1898 FORT RD # 17A, SHERIDAN, WY 82801-8320
(307) 674-6522
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00034035
WA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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