Individual
MICHAEL PAUL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTC
Contact information
Practice address
324 GARDEN RD, SPRINGFIELD, PA 19064-3505
(610) 513-1001
Mailing address
324 GARDEN RD, SPRINGFIELD, PA 19064-3505
(610) 513-1001
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
12-0205
—
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
About Stedi
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