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NPI Verification

National Provider Identifier: 1417914813

Michael R Wilson, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

1300 E ZION RD

FAYETTEVILLE, AR 727035015

Phone: 479-521-8980

NPI Enumeration Date

April 28, 2006

NPI Number

1417914813

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry