Individual
EMILY KATHLEEN WILCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
N2950 WI-67, LAKE GENEVA, WI 53147
(815) 229-7580
Mailing address
N2950 WI-67, LAKE GENEVA, WI 53147
(608) 756-6138
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036136945
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2010
Last updated
10/18/2023
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