| NPI | 1831274976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICK SAUL WILSON Podiatrist 510-796-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E2105) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-10-23 |