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Organization
DONALD R. WILSON, M.D., INC.
Active
Organization
DONALD R. WILSON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD RICHARD WILSON M.D. (PRESIDENT)
(707) 965-2181
Entity
Organization
Contact information
Practice address
715 LINDA FALLS TER, ANGWIN, CA 94508-9684
(707) 965-2181
(707) 965-3576
Mailing address
PO BOX 714, ANGWIN, CA 94508-0714
(707) 965-2181
(707) 965-3576
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A24934
CA
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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