Individual
DR. MATTHEW C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3175 SIENNA DR S STE 105, FARGO, ND 58104-8910
(701) 451-9098
(701) 451-9099
Mailing address
3175 SIENNA DR S STE 105, FARGO, ND 58104-8910
(701) 451-9098
(701) 451-9099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1110
ND
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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