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Individual

DR. DONALD ROBERT WILCOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC DABCO

Contact information

Practice address
18 S STATE ST, NUNDA, NY 14517-0639
(585) 468-3440
(585) 468-2835
Mailing address
18 S STATE ST, PO BOX 639, NUNDA, NY 14517-0639
(585) 468-3440
(585) 468-2835

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X003252-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11124949
CAQH COALTION FOR AFFORDA
01
16118444601
PRISM HEALTH NETWORK
01
350033887
RR MEDICARE
01
4662645
AETNA INC
01
8808985
INDEPENDENT HEALTH
01
DC0032526
WORKERS COMPENSATION
NY
01
P010003252
EXCELLUS
Enumeration date
01/04/2006
Last updated
09/10/2010
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