FREDERICK MIKE WILSON (MD) – Internal Medicine Physician, NPI 1609806173

FREDERICK MIKE WILSON (MD) is a healthcare provider. based in Jefferson city, Missouri. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 113229 (MO). The NPI Number for FREDERICK MIKE WILSON (MD) is 1609806173

Main info

Male
Name
FREDERICK MIKE WILSON (MD)
NPI
1609806173
Phone
(573) 761-7246
Address
PO BOX 1027
Enumeration Date
3 July 2006
Last Update Date
10 February 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for FREDERICK MIKE WILSON (MD)

  • 1027, Rockland Road, Jones Corner, Jefferson, Lincoln County, Maine, 04348, United States

    JEFFERSON CITY, MO 651021027

    Phone: (573) 761-7246

    Fax: (573) 761-6947

    Type: Mailing

  • Fairway Drive, Fulton, Callaway County, Missouri, 65251, United States

    FULTON, MO 65251

    Phone: (573) 642-4242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65102)

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Reviews

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Frequently asked questions

Can I use this page to confirm FREDERICK MIKE WILSON (MD)'s NPI?
Yes. FREDERICK MIKE WILSON (MD) is listed with NPI 1609806173 in the public NPI dataset.
Is FREDERICK MIKE WILSON (MD) still practicing?
FREDERICK MIKE WILSON (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes FREDERICK MIKE WILSON (MD)?
For research purposes, treat FREDERICK MIKE WILSON (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for FREDERICK MIKE WILSON (MD)?
FREDERICK MIKE WILSON (MD)'s geographic hint is Jefferson City, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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