Organization
M WILSON LTD
Active
Other names
Wilson Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A WILSON DC (OWNER)
(870) 283-5553
Entity
Organization
Contact information
Practice address
619 NORTH MAIN ST, CAVE CITY, AR 72521-0088
(870) 283-5553
Mailing address
PO BOX 88, 619 NORTH MAIN, CAVE CITY, AR 72521-0088
(870) 283-5553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1159
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115767718
—
AR
Enumeration date
07/31/2006
Last updated
07/03/2008
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