Individual
DR. WILLIAM G WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6322 ROOSEVELT WAY NE, SEATTLE, WA 98115-6625
(206) 201-0544
Mailing address
PO BOX 1689, EDMONDS, WA 98020-1689
(206) 399-6157
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00025702
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8201162
—
WA
Enumeration date
09/14/2006
Last updated
02/28/2020
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