Individual
DR. MICHAEL ROBERT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 OWENS ST, SUITE 320, SAN FRANCISCO, CA 94158-2334
(414) 353-2069
(415) 353-2633
Mailing address
1500 OWENS ST, SUITE 320, SAN FRANCISCO, CA 94158-2334
(414) 353-2069
(415) 353-2633
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A125397
CA
Other
Enumeration date
06/15/2007
Last updated
09/03/2013
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