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Individual

DR. ROBIN S WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
17280 W NORTH AVENUE, SUITE 100, BROOKFIELD, WI 53045
(414) 271-2020
(262) 786-0084
Mailing address
1684 N PROSPECT AVE, MILWAUKEE, WI 53202
(414) 271-2020
(414) 272-3932

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26077
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2477923
CIGNA
WI
01
26077020
WI STATE LICENSE NUMBER
WI
05
30590400
WI
01
4047311
AETNA
WI
Enumeration date
08/30/2005
Last updated
01/16/2008
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