Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Wilson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144070905

Michael Wilson, MD is a Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1144070905
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address5053 Forest Rd, Lewiston, NY 14092-1904

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