Organization
AUBURN MEMORIAL MEDICAL SERVICES, PC
Active
Organization
AUBURN MEMORIAL MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WILSON M.D. (PRESIDENT/TREASURER)
(315) 567-0455
Entity
Organization
Contact information
Practice address
17 LANSING STREET, ATTN: C. MCLOUD, AUBURN, NY 13021
(315) 567-0455
(315) 253-1795
Mailing address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 567-0455
(315) 567-0333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02958950
—
NY
Enumeration date
10/09/2007
Last updated
12/13/2021
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