Individual
DR. MICHAEL A. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-1200
Mailing address
1700 SPRING HILL AVE STE 100, MOBILE, AL 36604-1416
(251) 435-1200
(251) 435-6357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18164
MS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
18164
MS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35775
AL
207RP1001X
Pulmonary Disease Physician
01065277A
IN
207RP1001X
Pulmonary Disease Physician
10428
ND
207RP1001X
Pulmonary Disease Physician
18164
MS
207RP1001X
Pulmonary Disease Physician
7638A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03857849
—
MS
05
—
273925900
—
FL
Enumeration date
12/13/2005
Last updated
03/31/2021
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