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Organization
J. MICHAEL WILSON, M.D., S.C.
Active
Organization
J. MICHAEL WILSON, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. MICHAEL WILSON M.D. (AUTHORIZED OFFICIAL)
(414) 961-3300
Entity
Organization
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 961-3300
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
09/11/2025
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