Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW RYAN WILSON, M.D.
ActiveDR. MATTHEW RYAN WILSON, M.D. is a Colon & Rectal Surgery healthcare provider located in PORT ORANGE, Florida. NPI 1316006083 is currently active in the NPPES registry. Verify at CMS.
Colon & Rectal Surgery · PORT ORANGE, FL
Registration Details
- NPI Number
- 1316006083
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2006 (19.708972078025 yrs)
- Last Updated
- Oct 9, 2023
- License
-
ME162821 (FL)
Practice Information
- Address
-
1185 DUNLAWTON AVE STE 100PORT ORANGE, FL, 321272906Browse FL providers · Browse ZIP 32127
- Phone
- 3867567066
- Fax
- 3866712820
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
Other Colon & Rectal Surgery Providers in PORT ORANGE, FL
| Name | Credential | NPI |
|---|---|---|
| JOHN T TOLLAND | MD | 1750383733 |
| ANDREW H RITTER | M.D. | 1447252432 |
| ROSS MYERS HEMPEL | — | 1235660523 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.