Individual
DR. MICHAEL BRITT WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1510 W YAKIMA AVE, YAKIMA, WA 98902-2951
(509) 453-5726
(509) 453-7899
Mailing address
1510 W YAKIMA AVE, YAKIMA, WA 98902-2951
(509) 453-5726
(509) 453-7899
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
27 1449
OR
111N00000X
Chiropractor
Primary
CH00001425
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16740
LABOR & INDUSTRIES
WA
05
—
2052702
—
WA
Enumeration date
10/11/2006
Last updated
07/08/2007
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