Michael A. Wilson MD

NPI 1093790032 - Internal Medicine - 207RC0200X

NPI Details
NPI 1093790032
Gender Male
Enumeration Date 12/13/2005
Last Updated 01/09/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
215 MARION AVE
MCCOMB MS, 39648-2705, US
Phone (601) 249-5500
Fax (601) 249-1173
Business Location
PO BOX 490
MCCOMB MS, 39649-0490, US
Phone (601) 249-2701
Fax (601) 249-2195
Toxanomy
Taxonomy Code 207RC0200X
License State Mississippi
License Number 18164
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According to our database, Dr. Michael A. Wilson MD NPI is 1093790032, taxonomy code is 207RC0200X and license number is 18164, license state is located at Mississippi. Michael A. Wilson MD physically located at 215 Marion Ave, Mccomb MS, 39648-2705. NPI Number Michael A. Wilson MD has the Individual type.

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1093790032 NPI number is provided on an as is basis without warranty of any kind. 1093790032 is maintained by the National Plan & Provider Enumeration System. The contents of Michael A. Wilson MD are for informational purposes only.