SHANE WILSON, DO
Internal Medicine
Active
Individual
NPI: 1477808467
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 2014026613 (MO) |
Frequently Asked Questions
NPI 1477808467 is the National Provider Identifier for SHANE WILSON, DO, a Internal Medicine provider located in Memphis, MO. This NPI was enumerated on July 17, 2012.
SHANE WILSON, DO practices at 450 E SIGLER AVE, STE A, Memphis, MO 63555.
Quick Facts
- NPI
- 1477808467
- Type
- Individual
- Enumerated
- Jul 17, 2012
- Last Updated
- Oct 8, 2015
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