Individual
DR. MICHAEL DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
804 KENYON RD, FORT DODGE, IA 50501-5742
(515) 302-8700
(515) 302-8701
Mailing address
2010 GRANDVIEW DR, FORT DODGE, IA 50501-7875
(509) 845-3588
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
101632
IA
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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