Most Relevant Information
Provider Data
| NPI Number: | 1003389164 |
| Provider Name: | MATTHEW CHRISTOPHER WILSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/10/2019 |
| Last Updated: | 01/10/2019 |
Provider Practice Location
5400 EDALBERT DR
CINCINNATI
OH
452397604
Practice Location Phone/Fax
| Phone: | 5137413100 |
| Fax: |
Provider Mailing Location
5400 EDALBERT DR
CINCINNATI
OH
452397604
Provider Mailing Phone/Fax
| Phone: | 5137413100 |
| Fax: |