Individual
MEGAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 MAINE ST, QUINCY, IL 62301-3907
(660) 341-8918
Mailing address
23158 GRANITE AVE, LEWISTOWN, MO 63452-2449
(660) 341-8918
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
12585
IL
Other
Enumeration date
01/29/2025
Last updated
10/30/2025
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