Organization
UROLOGY SPECIALTIES OF NWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R WILSON M.D. (PRESIDENT)
(479) 521-8980
Entity
Organization
Contact information
Practice address
5401 WILLOW CREEK DR, SPRINGDALE, AR 72762-8703
(479) 521-8980
(479) 521-1088
Mailing address
5401 WILLOW CREEK DR, SPRINGDALE, AR 72762-8703
(479) 521-8980
(479) 521-1088
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
03/17/2014
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