| Wilson Medical | |
|
5235 Hhr Ranch Rd Wilson WY 83014-1929 | |
| (307) 733-2855 | |
| (307) 734-0734 |
| Full Name | Wilson Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 5235 Hhr Ranch Rd, Wilson, Wyoming |
| Authorized Official Name and Position | Michael J Menolascino (DIRECTOR) |
| Authorized Official Contact | 3077332855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Medical Po Box 1929 5235 Hhr Ranch Rd Wilson WY 83014-1929 Ph: (307) 733-2855 | Wilson Medical 5235 Hhr Ranch Rd Wilson WY 83014-1929 Ph: (307) 733-2855 |
| NPI Number | 1437439684 |
|---|---|
| Provider Enumeration Date | 08/19/2011 |
| Last Update Date | 08/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437439684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4440A (Wyoming) | Primary |
Mark P Menolascino Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5235 Hhr Ranch Road, Wilson, WY 83014 Phone: 307-732-1039 Fax: 307-732-1041 |