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Individual

DR. STIEHL C WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S., D.C.

Contact information

Practice address
600 E WELLS ST, ASH GROVE, MO 65604-9087
(417) 323-1075
(417) 323-1076
Mailing address
PO BOX 175, ASH GROVE, MO 65604-0175
(417) 323-1075
(417) 323-1076

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2010001194
MO

Other

Enumeration date
03/02/2010
Last updated
08/22/2016
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