Individual provider · Type 1 NPI
Michael Paul Wilson, OTC
Technician/Technologist · Springfield, PA
NPI number
1891201604
Active
Practice location
324 Garden Rd
Springfield, PA 19064-3505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Technician/Technologist Primary | 156F00000X | 12-0205 |
Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.
About NPI 1891201604
Michael Paul Wilson, OTC's National Provider Identifier is 1891201604, issued on Dec 18, 2017. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Springfield, PA. The record was last updated on Dec 18, 2017.