Individual
DR. CHRISTOPHER H WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
560 JACKSON ST N, 100, ST PETERSBURG, FL 33705-1449
(727) 329-1600
(727) 329-1694
Mailing address
495 GILMAN CT N, ST PETERSBURG, FL 33716-1302
(727) 329-1600
(727) 329-1694
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS10215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006246800
—
FL
Enumeration date
02/26/2008
Last updated
09/25/2013
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