Individual
DR. MICHAEL GRANT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A
Contact information
Practice address
77 NELSON ST, AUBURN, NY 13021-1944
(315) 255-7011
Mailing address
16 BRENTWOOD DR. SUITE A, CAYUGA MEDICAL ASSOCIATES, ITHACA, NY 14850
(607) 272-7000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
263199
NY
Other
Enumeration date
11/21/2006
Last updated
02/23/2022
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