Individual
JACK M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6655 ALVARADO RD, SAN DIEGO, CA 92120-5208
(619) 229-3130
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2645
MN
207P00000X
Emergency Medicine Physician
320064
NY
207P00000X
Emergency Medicine Physician
Primary
G49906
CA
Other
Enumeration date
07/31/2006
Last updated
01/31/2023
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