Nicholas B Wilson, M.D. Valid NPI
Individual provider · Orthopaedic Surgery Physician · O Fallon, MO
- NPI
- 1902225766
- Type
- Individual (Type 1)
- Primary specialty
- Orthopaedic Surgery Physician (Orthopaedic Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207X00000X
- License number
- 2022030421 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-04-09
- Last updated
- 2023-10-05
Practice location
9323 Phoenix Village Pkwy
O Fallon, MO 63368-4281
(636) 561-0871