Organization
ADULT & ADOLESCENT TRT. CTR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY W WILSON M.D. (PRESIDENT)
(414) 332-0552
Entity
Organization
Contact information
Practice address
5225 N IRONWOOD RD, S102, GLENDALE, WI 53217-4909
(414) 332-0552
(414) 962-4356
Mailing address
5225 N IRONWOOD RD, S102, GLENDALE, WI 53217-4909
(414) 332-0552
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15620
WI
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us