Search › Missouri › 176B00000X
Susan Wilson, CPM
NPI 1366716854 · on the registry since 2012 · sole proprietor
Practice
- Address
- 5410 Hill Crest St
Russellville, MO 65074 - Phone
- (573) 230-6023
- Fax
- (573) 378-5295
Registry record
- Primary taxonomy
- 176B00000X
176B00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-02-29
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