Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Frederick Mike Wilson, MD

Individual provider Specialist · NPI 1609806173

Frederick Mike Wilson, MD is a Specialist in Fulton, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2613 Fairway Dr
Fulton, MO 65251
Phone: (573) 642-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 113229 (MO)
Specialist Taxonomy 174400000X · Licence 113229 (MO)

Record details

NPI number1609806173
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESFebruary 10, 2015

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