Individual
DR. SEAN AUSTIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1240 BANNING ST, MARSHFIELD, MO 65706-2390
(417) 468-1963
(417) 468-2736
Mailing address
1240 BANNING ST, MARSHFIELD, MO 65706-2390
(417) 891-4800
(417) 891-4913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023028621
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
04/24/2020
Last updated
04/07/2026
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