Individual
CHRISTOPHER M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8607 E US HIGHWAY 36 STE 100, AVON, IN 46123-7960
(317) 208-3855
Mailing address
8607 E US HIGHWAY 36 STE 100, AVON, IN 46123-7960
(317) 208-3855
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01057419
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200484480
—
IN
Enumeration date
09/26/2006
Last updated
11/17/2022
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