Individual
DR. ANDREA MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9378 OLIVE BLVD, STE 122, SAINT LOUIS, MO 63132
(314) 872-6858
Mailing address
9378 OLIVE BLVD, STE 122, SAINT LOUIS, MO 63132
(314) 872-6858
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD109049
MO
Other
Enumeration date
07/07/2008
Last updated
01/22/2019
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