Individual
DR. MICHAEL LEON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2103 FOREST AVE, CHICO, CA 95928-7680
(530) 895-3668
(503) 895-0927
Mailing address
2103 FOREST AVE, CHICO, CA 95928-7680
(530) 895-3668
(503) 895-0927
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4344
CA
Other
Enumeration date
10/05/2005
Last updated
09/23/2008
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