Individual
DR. WILSON CESAR CUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
7100 W 20TH AVE STE 107, HIALEAH, FL 33016-1813
(305) 823-8510
(305) 823-8530
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
ME132048
FL
2084N0400X
Neurology Physician
100579
WI
2084N0400X
Neurology Physician
ME132048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
GROUP MEDICARE PTAN
IL
Enumeration date
08/05/2008
Last updated
07/25/2023
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