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Michael A Wilson

  • Male

Medical Specialty

Professional ID

  • NPI: 1780705905
  • PECOS ID: 7113098815
  • Enrollment ID: I20080624000759
  • Credential(MD, DO, DPM):
  • Medical School: Palmer College Chiropractic - Davenport
  • Medical School Graduation Year: 1988

Hospital Service

  • Hospital CCN1: 040119
  • Business Name (LBN)1: White River Medical Center

Medical Practices

  • Organization Name: M Wilson Ltd
  • Group Practice ID assigned by PECOS: 9335210038
  • Number of Group Practice member: 0

Location

  • Address1: 619 N Main St
  • Address2:
  • City: Cave City
  • State: Arkansas
  • Zip Code: 72521
  • Phone Number: (870)283-5553

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):