Individual
MICHAEL DEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(419) 251-4340
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
16471C
WY
2085R0202X
Diagnostic Radiology Physician
2024014263
MO
2085R0202X
Diagnostic Radiology Physician
20530
ND
2085R0202X
Diagnostic Radiology Physician
Primary
35098953
OH
2085R0202X
Diagnostic Radiology Physician
41027
AZ
2085R0202X
Diagnostic Radiology Physician
4301082426
MI
2085R0202X
Diagnostic Radiology Physician
MC-194
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067456
—
OH
01
—
35-098953
OHIO MEDICAL LICENSE
OH
05
—
378616
—
AZ
Enumeration date
07/30/2007
Last updated
09/23/2025
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