Individual provider · Type 1 NPI

Michael Wilson, PA

Physician Assistant · Boise, ID

NPI number 1760163679 Active

Practice location

8854 W Emerald St
Boise, ID 83704-4844

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760163679

Michael Wilson, PA's National Provider Identifier is 1760163679, issued on Jul 25, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on May 21, 2026.