Individual
DR. WILLIAM H WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3701 DIVISION ST, SUITE 131, METAIRIE, LA 70002-4617
(985) 710-2645
Mailing address
3701 DIVISION ST, SUITE 131, METAIRIE, LA 70002-4617
(985) 710-2645
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
854
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
854
STATE LICENSE
LA
Enumeration date
10/23/2007
Last updated
10/23/2007
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