Organization
CARL WILSON MD INC & JILL EDISON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL WILSON MD (SENIOR PARTNER)
(707) 527-9510
Entity
Organization
Contact information
Practice address
435 DOYLE PARK DR, SANTA ROSA, CA 95405-4515
(707) 527-9510
(707) 527-1306
Mailing address
435 DOYLE PARK DR, SANTA ROSA, CA 95405-4515
(707) 527-9510
(707) 527-1306
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G44318
CA
Other
Enumeration date
08/16/2005
Last updated
12/06/2010
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