Individual
MARK L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1262 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6125
(715) 858-4610
Mailing address
1460 CURVE CREST BLVD W, STILLWATER, MN 55082-6070
(651) 439-8283
(651) 439-0576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8136
MN
Other
Enumeration date
08/04/2010
Last updated
01/05/2018
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