Individual
DR. CRAIG M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
624 N NINTH STREET, FAMILY CARE CHIROPRACTIC, LEBANON, PA 17046
(717) 272-1400
(717) 272-1400
Mailing address
624 N NINTH STREET, FAMILY CARE CHIROPRACTIC, LEBANON, PA 17046
(717) 272-1400
(717) 272-1400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003429L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1522453
GATEWAY
PA
01
—
195212
BS HIGHMARK
PA
Enumeration date
08/04/2006
Last updated
07/08/2007
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