G. Wilson, O.D

NPI 1811993629 · on the registry since 2005 · sole proprietor

Practice

Address: 1317 Oakdale Rd
Ste 620
Modesto, CA 95355
Phone: (209) 524-7870
Fax: (209) 524-7985
Organisation at this address: Diego Surgical Inc.
Robert C Ludlow Dds Inc
Altwal And Shelat Dds Inc
Soft Tissue & Myofascial Treatment Inc.
Lags Spine And Sportscare Medical Centers, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 191

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California