Individual
STEPHEN CURTIS WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2600 W MAIN ST, BELLEVILLE, IL 62226-6651
(618) 239-6109
Mailing address
2724 GRANDA DR, SAINT LOUIS, MO 63125-4022
(314) 550-9390
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002996
IL
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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