Individual
DR. EDWARD T WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1531 ESPLANADE, CHICO, CA 95926-3226
(530) 896-7455
Mailing address
PO BOX 7988, CHICO, CA 95927-7988
(530) 896-7455
(530) 896-1832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A16373
CA
208M00000X
Hospitalist Physician
Primary
20A16373
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2015
Last updated
07/27/2023
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