Individual provider · Type 1 NPI

Shane Charles Wilson, DO

Internal Medicine Physician · Memphis, MO

NPI number 1477808467 Active

Practice location

118 E Grand Ave
Memphis, MO 63555-1419

Fax (660) 465-7526

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000X2014026613 (MO)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1477808467

Shane Charles Wilson, DO's National Provider Identifier is 1477808467, issued on Jul 17, 2012. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Memphis, MO. The record was last updated on May 8, 2026.