Individual
DR. AUGUSTINE REID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 725-1288
Mailing address
1740 EAGLES NEST WAY APT 319, OCEANSIDE, CA 92058-7181
(312) 358-3800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125070644
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
10/28/2024
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