Individual
DR. MARK W. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 POTRERO AVENUE, SFGH DEPARTMENT OF RADIOLOGY, ROOM 1X57, SAN FRANCISCO, CA 94110-2204
(415) 353-1300
(415) 353-8570
Mailing address
5 BURNETT AVENUE NORTH, APT. #1, SAN FRANCISCO, CA 94131
(415) 642-9196
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G74073
CA
2085R0204X
Vascular & Interventional Radiology Physician
G74073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G740730
—
CA
Enumeration date
06/12/2006
Last updated
07/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us