Individual
DR. MICHAEL ALAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
142 HIGH ST, MORGANTOWN, WV 26505-5413
(304) 292-7307
(304) 292-1154
Mailing address
142 HIGH ST, MORGANTOWN, WV 26505-5413
(304) 292-7307
(304) 292-1154
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2381
WV
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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