Individual
KIERAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1074
(608) 263-0333
(608) 265-6526
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7438
WI
Other
Enumeration date
02/09/2015
Last updated
09/01/2023
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