Individual
MICHAEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(239) 348-4000
Mailing address
PO BOX 277575, ATLANTA, GA 30384-7575
(239) 348-4000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
FLME94452
FL
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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