Frederick Mike Wilson in Jefferson City - Specialist
Frederick Mike Wilson - NPI 1609806173
Frederick Mike Wilson is a Specialist in Jefferson City, Missouri. Frederick Mike Wilson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Frederick Mike Wilson is 1609806173. The last update date is 2015-02-10.
Frederick Mike Wilson's current location address is Po Box 1027, Jefferson City, Missouri. You can contact this provider via phone number 5737617246 and fax number 5737616947. The mailing address for Frederick Mike Wilson is Po Box 1027, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Frederick Mike Wilson |
|---|---|
| Address | Po Box 1027, Jefferson City, Missouri |
| Phone Number | 5737617246 |
| Fax Number | 5737616947 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1609806173 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2015-02-10 |
Provider Mailing Address Detail
| Address | Po Box 1027 |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651021027 |
| Phone Number | 5737617246 |
| Fax Number | 5737616947 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 113229 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 207326307 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Frederick Mike Wilson by the Centers for Medicare & Medicaid Services?
The Frederick Mike Wilson has been assigned the NPI (National Provider Identifier) 1609806173 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Frederick Mike Wilson is geographically located?
The Frederick Mike Wilson is physically situated at the following location: Po Box 1027, Jefferson City, MO, 651021027.
What is the area of specialization for Frederick Mike Wilson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Frederick Mike Wilson is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609806173 to Frederick Mike Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1609806173 to Frederick Mike Wilson on 2006-07-03.
When was the information related to Frederick Mike Wilson most recently updated or refreshed?
The details pertaining to the Frederick Mike Wilson, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-02-10.