DR. TODD EUGENE WILSON MD NPI 1780698910

NPI Information

  • NPI: 1780698910
  • Provider Name: DR. TODD EUGENE WILSON, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 10850 E TRAVERSE HWY
    SUITE 60
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 935-0499

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NPI Details

DR. Todd Eugene Wilson, MD is a diagnostic radiology radiology in Traverse City, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Todd Eugene Wilson, MD NPI is 1780698910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10850 E TRAVERSE HWY
SUITE 60
TRAVERSE CITY, MI
ZIP 49684-364
Phone: (231) 935-0499

The enumeration date for this NPI number is 7/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology4301407466MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14069639MEDICAIDMICHIGAN
2E47323MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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