NPI 1356190185
Michael Wilson
Practice location
- Address
- 914 N 2nd St APT 8, Saint Charles, MO 63301-2070
- Phone
- (314) 240-0208
- Mailing address
- 6914 Pine Ridge Dr, Saint Louis, MO 63121-2734
Registered specialties (2)
Home Health Aide
Primary
Pastoral Counselor
Registry record
- NPI
- 1356190185
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 May 2024
- Record last updated
- 14 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.