Wilson, Todd Eugene

Wilson, Todd Eugene is an individual health care provider with primary practice located at 10850 E Traverse Hwy Suite 60, Traverse City MI 49684-1364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wilson, Todd Eugene can be contacted via phone (231) 935-0499.

Contact Information

Primary practice address
10850 E Traverse Hwy Suite 60 Traverse City MI 49684-1364
Phone: (231) 935-0499
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301407466 Michigan

Profile Details

NPI number 1780698910
LBN Legal business name Wilson, Todd Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1780698910 NPPES
Michigan MEDICAID 4069639

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