Individual
DR. BRYAN SCOTT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
Mailing address
1564 SELBY AVE APT 8, SAINT PAUL, MN 55104-6336
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
63432
MN
2084P0800X
Psychiatry Physician
Primary
69464-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
09/21/2020
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