NPI 1417914813

Michael R Wilson, MD

Practitioner Urology Physician Fayetteville, AR

Practice location

Address: 1300 E Zion Rd, Fayetteville, AR 72703-5015
Phone: (479) 521-8980
Fax: (479) 521-8982

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence E-3255 (AR)

Other Urology providers in Arkansas →

Registry record

NPI: 1417914813
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2006
Record last updated: 8 Sep 2008

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.