Organization
CLARENCE CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILSON MD (AUTHORIZED OFFICIAL)
(716) 887-4093
Entity
Organization
Contact information
Practice address
9095 MAIN ST, CLARENCE, NY 14031-1967
(716) 887-4093
Mailing address
207 COMMERCE DR, AMHERST, NY 14228-2302
(716) 689-1901
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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