Individual
DR. MICHAEL RICHARD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1401 BLIZZARD DR, PARKERSBURG, WV 26101-6422
(304) 420-0922
(304) 420-0924
Mailing address
1401 BLIZZARD DR, PARKERSBURG, WV 26101-6422
(304) 420-0922
(304) 420-0924
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3836
WV
Other
Enumeration date
06/19/2008
Last updated
10/29/2012
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