MEDICARE: DR. MICHAEL LEON WILSON DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	E4344	CA

General Provider Information

NPI Number	:	1992792774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL LEON WILSON DPM

Provider Business Mailing Address
First Line	:	2103 FOREST AVE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-7680
Country	:	US
Telephone Number	:	530-895-3668
Fax Number	:	503-895-0927

Provider Business Practice Location Address
First Line	:	2103 FOREST AVE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-7680
Country	:	US
Telephone Number	:	530-895-3668
Fax Number	:	503-895-0927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	09/23/2008

Similar Medicare Providers

1396721692 — DR. RANDALL B WATKINS O.D.
Practice Location Address:

2109 FOREST AVE , SUITE 50
CHICO, CA
95928-7680

Practice Phone: 530-342-9644
Practice Fax: 530-342-7547

1275519571 — CHICO VISION CARE OPTOMETRY GROUP
Practice Location Address:

2109 FOREST AVE , SUITE 50
CHICO, CA
95928-7680

Practice Phone: 530-342-9644
Practice Fax: 530-342-7547

1104896372 — DR. EDWARD LOUIE LIM O.D.
Practice Location Address:

2109 FOREST AVE , SUITE 50
CHICO, CA
95928-7680

Practice Phone: 530-342-9644
Practice Fax: 530-345-7547

1073576328 — DR. JOHN EDWARD STABEL M.D.
Practice Location Address:

2109 FOREST AVE , SUITE 20
CHICO, CA
95928-7680

Practice Phone: 530-892-4815
Practice Fax: 530-892-4816

1831146976 — DR. DANIEL D. CAVINESS D.P.M
Practice Location Address:

2103 FOREST AVE
CHICO, CA
95928-7680

Practice Phone: 530-895-3668
Practice Fax: 530-895-1248

1053417253 — DR. MARK ANTHONY LOPES D.C.
Practice Location Address:

2107 FOREST AVE , SUITE 130
CHICO, CA
95928-7680

Practice Phone: 530-566-1700
Practice Fax: 530-343-1919

Directions to “ DR. MICHAEL LEON WILSON DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.