Individual
DANIEL SHELDON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 366-9060
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
MO
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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