Individual
SETH MACKENZIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
123 S 27TH ST, BILLINGS, MT 59101-4200
(406) 651-6436
Mailing address
123 S 27TH ST, BILLINGS, MT 59101-4200
(406) 651-6436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
670
MT
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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