Organization
FREDERICK S WILSON DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRICK SAUL WILSON DPM (PODIATRIST)
(510) 796-2191
Entity
Organization
Contact information
Practice address
1895 MOWRY AVE, STE. 103, FREMONT, CA 94538-1737
(510) 796-2191
(510) 796-2250
Mailing address
1895 MOWRY AVE, STE. 103, FREMONT, CA 94538-1737
(510) 796-2191
(510) 796-2250
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2105
CA
Other
Enumeration date
10/26/2006
Last updated
10/23/2012
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