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Michael Wilson, ATC, LAT
NPI 1053864306 · on the registry since 2016
Practice
- Address
- 411 Central Methodist Sq
Fayette, MO 65248 - Phone
- (636) 577-5062
- Organisation at this address
- Central Methodist Univeristy
Central Methodist University
Central Methodist University
Central Methodist University
Central Methodist University Sports Medicine/Athletic TrainingInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri