Individual
DR. MICHAEL C. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15728 LORAIN AVE, CLEVELAND, OH 44111-5542
(216) 252-6224
(216) 252-6234
Mailing address
15728 LORAIN AVE, CLEVELAND, OH 44111-5542
(440) 777-6017
(440) 777-6940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03286
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2803265
—
OH
Enumeration date
12/29/2005
Last updated
09/25/2008
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