Wilson, Michael L

Wilson, Michael L is an individual health care provider with primary practice located at 777 Bannock St Mc 7782, Denver CO 80204-4507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Microbiology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Wilson, Michael L can be contacted via phone (303) 436-6000.

Contact Information

Primary practice address
777 Bannock St Mc 7782 Denver CO 80204-4507
Phone: (303) 436-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Microbiology 207ZM0300X 28412 Colorado
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 28412 Colorado

Profile Details

NPI number 1013027804
LBN Legal business name Wilson, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 9th, 2024 - about last year

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 1013027804 NPPES
Colorado MEDICAID 17353751

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