Individual
MICHAEL T WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT STREET, MASSACHUSETTS GENERAL, BOSTON, MA 02114
(617) 726-2000
Mailing address
1 LONGFELLOW PL, APT 2018, BOSTON, MA 02114-2438
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
231463
MA
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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