Individual
THOMAS ALAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6236
(608) 417-6377
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
32178
IA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
24639-20
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
32178
IA
Other
Enumeration date
03/30/2006
Last updated
06/06/2014
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