Organization
W CHIROPRACTIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A WILSON D.C. (OWNER)
(406) 549-9100
Entity
Organization
Contact information
Practice address
2801 GREAT NORTHERN LOOP, MISSOULA, MT 59808-1678
(406) 549-9100
(406) 549-9151
Mailing address
2801 GREAT NORTHERN LOOP, MISSOULA, MT 59808-1745
(406) 549-9100
(406) 549-9151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0826
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164169
—
MT
Enumeration date
01/10/2007
Last updated
11/14/2007
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