Individual
DR. LOUISE WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-3311
(417) 967-1259
Mailing address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-3311
(417) 967-1259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36687
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992743777
—
MO
05
—
242547016
—
MO
01
—
26D0446923
CLIA
MO
Enumeration date
06/03/2006
Last updated
04/02/2012
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