Wilson, Michael A.

Wilson, Michael A. is an individual health care provider with primary practice located at 1600 E Citrus Ave Ste A, Redlands CA 92374-4270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wilson, Michael A. can be contacted via phone (909) 794-3682.

Contact Information

Primary practice address
1600 E Citrus Ave Ste A Redlands CA 92374-4270
Phone: (909) 794-3682
Fax: (909) 796-4158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G75159 California

Profile Details

NPI number 1740229293
LBN Legal business name Wilson, Michael A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Sep 23rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740229293 NPPES
California MEDICAID 00G751591

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