Individual
DR. MATTHEW S. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10018 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4429
Mailing address
10018 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4429
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2008006048
MO
Other
Enumeration date
04/06/2007
Last updated
10/11/2023
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