Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDERICK MIKE WILSON, MD
ActiveFREDERICK MIKE WILSON, MD is a Internal Medicine healthcare provider located in FULTON, Missouri. NPI 1609806173 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · FULTON, MO
Registration Details
- NPI Number
- 1609806173
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2006 (20.14037424295 yrs)
- Last Updated
- Feb 10, 2015
- Licenses
-
113229 (MO)113229 (MO)
Practice Information
- Address
-
2613 FAIRWAY DRFULTON, MO, 65251Browse MO providers · Browse ZIP 65251
- Phone
- 5736424242
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in FULTON, MO
| Name | Credential | NPI |
|---|---|---|
| NARAYANA RAO ADUSUMILLI | MD | 1891706115 |
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.