Individual
CHRISTOPHER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4116 VON TALGE RD, SUITE B, SAINT LOUIS, MO 63128-1957
(314) 815-3331
(314) 815-3703
Mailing address
7980 CLAYTON RD, SUITE 202, SAINT LOUIS, MO 63117-1354
(314) 951-5368
(314) 951-5238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2001015152
MO
Other
Enumeration date
07/21/2006
Last updated
07/09/2007
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