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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK R WILSON, Q.M.E., O.M.D., LAC

Active Sole Proprietor

MARK R WILSON, Q.M.E., O.M.D., LAC is a Acupuncturist healthcare provider located in SAN LUIS OBISPO, California. NPI 1013076405 is currently active in the NPPES registry. Verify at CMS.

Acupuncturist · SAN LUIS OBISPO, CA

Registration Details

NPI Number
1013076405
Provider Type
Individual
Gender
Male
NPI Issued
Dec 8, 2006 (19.643070310577 yrs)
Last Updated
Mar 28, 2023
License
005109 (CA)
Sole Proprietor
Yes

Practice Information

Address
11573 LOS OSOS VALLEY RD STE H
SAN LUIS OBISPO, CA, 934056497
Browse CA providers · Browse ZIP 93405
Phone
8054390044
Fax
8054390779
Primary Specialty
Acupuncturist
171100000X

Other Acupuncturist Providers in SAN LUIS OBISPO, CA

Name Credential NPI
MRS. LAUREL DOYLE L AC 1811004955
MS. MELODY JEAN PICKELL LAC, MSTOM 1760507230
MS. CLAUDIA J CADWALLADER L.AC. 1124247580
DR. FENG LING LI DE WANG ACUPUNCTURIST 1548468192
PATRICK TREAT PAINE L.AC 1194924829
NAOMI LEE BREBES-MENSAH L.AC. 1023299070
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.