Individual
WILSON CHICK
Active
Individual
WILSON CHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
A55294
CA
207ZP0101X
Anatomic Pathology Physician
A55294
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A552940
—
CA
Enumeration date
07/25/2006
Last updated
09/11/2025
Update your record
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