Individual provider · Type 1 NPI
Michael Scott Wilson, DC, QME
Chiropractor · Fairfield, CA
NPI number
1710095740
Active
Practice location
1252 Travis Blvd, Suite G
Fairfield, CA 94533-4886
Fax (707) 426-2725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC25538 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1710095740
Michael Scott Wilson, DC, QME's National Provider Identifier is 1710095740, issued on Aug 29, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2007.