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Individual

DR. FREDERICK CHARLES WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
300 AABC, STE C, ASPEN, CO 81611
(970) 925-4846
(970) 925-4848
Mailing address
300 AABC, STE.C, ASPEN, CO 81611
(970) 925-4846
(970) 925-4848

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2237
CO

Other

Enumeration date
07/24/2006
Last updated
07/09/2013
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