Individual
DR. MARK ALEXANDER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
615 W NURSERY ST, BUTLER, MO 64730-1840
(660) 200-7000
Mailing address
615 W NURSERY ST, BUTLER, MO 64730-1840
(660) 200-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023039087
MO
Other
Enumeration date
06/10/2021
Last updated
07/12/2024
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