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Individual
DR. MICHAEL A WILSON
Active
Individual
DR. MICHAEL A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD04244L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001409263
—
PA
01
—
01105903
CAPITAL BC-WMG SBFM
PA
01
—
030026
JOHNS HOPKINS
PA
01
—
1142442
AH MERCY-WMG SBFM
PA
01
—
1567482
GATEWAY WRC
PA
01
—
186107
UNISON-WMG READYCARE
PA
01
—
20054653
AH MERCY-WMG READYCARE
PA
01
—
2161250
MAMSI-WMG READYCARE
PA
01
—
233297
MAMSI-WMG SBFM
PA
01
—
38597
GEISINGER
PA
01
—
50062680
CAPITAL BC-WMG READYCARE
PA
01
—
5274049
AETNA
PA
01
—
543248
CAREFIRST MD BCBS
MD
01
—
740064
HIGHMARK BLUE SHIELD
PA
01
—
81027
UNISON-WMG SBFM
PA
01
—
P002807
GATEWAY-WMG
PA
Enumeration date
07/19/2006
Last updated
09/22/2014
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