Frederick Mike Wilson MD

  • 1609806173 NPI Number
  • |
  • Actived: 13 years ago
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According to our database, NPI number for Frederick Mike Wilson MD is 1609806173 and actived since Monday, July 3 2006. Frederick Mike Wilson MD is an individual provider specializes in Specialist, primary practice location is 2613 Fairway Dr, Fulton, MO 65251. You can also contact Frederick Mike Wilson MD via telephone number is (573) 642-4242. Provider NPI information was last updated on 02/10/2015.

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Overview of Frederick Mike Wilson MD

  • NPI number: 1043855448
  • Provider type: Individual
  • Specialty: Specialist
  • Gender: Male
  • Active since: 07/03/2006
  • Last updated: 02/10/2015

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 113229
  • License State: MO

Provider Mailing Address

  • Address: Po Box 1027
    Jefferson City, MO 65102
  • Phone: 573-761-7246
  • Fax: 573-761-6947

Provider Practice Location

  • Address: 2613 Fairway Dr
    Fulton, MO 65251
  • Phone: 573-642-4242
  • Fax:

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 113229
  • License State: MO
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 207326307
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MO
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Frederick Mike Wilson MD?
  • A: The npi number for Frederick Mike Wilson MD is 1609806173.
  • Q: What are Frederick Mike Wilson MD's specialties?
  • A: Frederick Mike Wilson MD's specialties are Specialist and different specialities.
  • Q: What is the medical license for Frederick Mike Wilson MD?
  • A: The medical license number for Frederick Mike Wilson MD is 113229 and issued in MO in USA.
  • Q: Where is Frederick Mike Wilson MD practice location?
  • A: Frederick Mike Wilson MD is practicing at 2613 Fairway Dr, Fulton, MO 65251.
  • Q: How to contact Frederick Mike Wilson MD?
  • A: You can contact Frederick Mike Wilson MD via 573-642-4242.