Individual
DR. SHANE MICHAEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
938 WRENS ROOST CIR, 2, MEMPHIS, TN 38119-0510
(205) 544-4318
Mailing address
938 WRENS ROOST CIR, 2, MEMPHIS, TN 38119-0510
(205) 544-4318
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1368
TN
Other
Enumeration date
10/25/2014
Last updated
10/25/2014
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