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

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
Mailing addressPo Box 1027, Jefferson City, MO 65102-1027

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