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Organization
JOHN W. WILSON, MD, INC.
Active
Organization
JOHN W. WILSON, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WELLS WILSON M.D. (OWNER)
(650) 994-9090
Entity
Organization
Contact information
Practice address
1800 SULLIVAN AVE, ROOM 503, DALY CITY, CA 94015-2228
(650) 994-9090
(650) 994-9093
Mailing address
PO BOX 2248, DALY CITY, CA 94017-2248
(650) 994-9090
(650) 994-9093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A049745
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2411141
CORPORATION #
CA
Enumeration date
10/12/2006
Last updated
04/03/2013
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