Individual
DR. JAMES MICHAEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45183-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34337800
—
WI
01
—
P00384887
RAIL ROAD MEDICARE
—
Enumeration date
12/02/2005
Last updated
02/15/2009
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