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

MICHAEL PAUL WILSON, OTC

Active

MICHAEL PAUL WILSON, OTC is a Optician healthcare provider located in SPRINGFIELD, Pennsylvania. NPI 1891201604 is currently active in the NPPES registry. Verify at CMS.

Optician · SPRINGFIELD, PA

Registration Details

NPI Number
1891201604
Provider Type
Individual
Gender
Male
NPI Issued
Dec 18, 2017 (8.6827535483814 yrs)
Last Updated
Dec 18, 2017
License
12-0205

Practice Information

Address
324 GARDEN RD
SPRINGFIELD, PA, 190643505
Browse PA providers · Browse ZIP 19064
Phone
6105131001
Primary Specialty
Optician
156F00000X
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.