Individual
JEFFREY WHITESIDE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10229 W GREENFIELD AVE, WEST ALLIS, WI 53214
(414) 453-6330
(414) 453-6523
Mailing address
10229 W GREENFIELD AVE, WEST ALLIS, WI 53214
(414) 453-6330
(414) 453-6523
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15620
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11713
AMER BOARD OF PSYCH NEURO
—
05
—
31772200
—
WI
Enumeration date
08/27/2006
Last updated
08/17/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us