| Matthew Wilson, M.d. | |
|
621 S New Ballas Rd Tower A, Suite 398 Saint Louis MO 63141-8232 | |
| (314) 251-7720 | |
| (314) 251-7722 |
| Full Name | Matthew Wilson, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 621 S New Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Matthew Stewart Wilson (MEMBER) |
| Authorized Official Contact | 3142517720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Wilson, M.d. 621 S New Ballas Rd Tower A, Suite 398 Saint Louis MO 63141-8232 Ph: (314) 251-7720 | Matthew Wilson, M.d. 621 S New Ballas Rd Tower A, Suite 398 Saint Louis MO 63141-8232 Ph: (314) 251-7720 |
| NPI Number | 1871767475 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871767475 | NPI | - | NPPES |
| 1649392796 | Other | MO | NPI MATTHEW S. WILSON MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2008006048 (Missouri) | Primary |
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