Organization
WILSON CHIROPRACTIC AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WILSON DC (CEO)
(316) 304-9450
Entity
Organization
Contact information
Practice address
1632 N PORTER AVE, WICHITA, KS 67203-2921
(316) 304-9450
Mailing address
1632 N PORTER AVE, WICHITA, KS 67203-2921
(316) 304-9450
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104695
KS
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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