Carl Wilson is a Nephrology in Santa Rosa, California. Carl Wilson practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Carl Wilson is 1033110465. The last update date is 2017-07-25.
Carl Wilson's current location address is 435 Doyle Park Dr, Santa Rosa, California. You can contact this provider via phone number 7075279510 and fax number 7075271306. The mailing address for Carl Wilson is 435 Doyle Park Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Wilson |
|---|---|
| Address | 435 Doyle Park Dr, Santa Rosa, California |
| Phone Number | 7075279510 |
| Fax Number | 7075271306 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033110465 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2017-07-25 |
Provider Mailing Address Detail
| Address | 435 Doyle Park Dr |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054515 |
| Phone Number | 7075279510 |
| Fax Number | 7075271306 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | G44318 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G443180 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carl Wilson by the Centers for Medicare & Medicaid Services?
The Carl Wilson has been issued the NPI (National Provider Identifier) 1033110465, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carl Wilson is physically located?
The Carl Wilson is physically situated at the following address: 435 Doyle Park Dr, Santa Rosa, CA, 954054515.
What is Carl Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carl Wilson is Nephrology, and the taxonomy code that categorizes this field of expertise is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033110465 to Carl Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1033110465 to Carl Wilson on 2005-08-09.
As of what date were the Carl Wilson's details last updated?
The information pertaining to the Carl Wilson, including its address, specialty, and other details, was most recently updated on 2017-07-25.